Form990-PF
Click to see attachment

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
Esper A Petersen Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)1 E Belvidere Road   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Grayslake, IL60030
A Employer identification number

36-6125570
B Telephone number (see instructions)

(847) 336-0900
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$8,169,897J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 21,228 21,228 21,228
4 Dividends and interest from securities...... 145,234 145,234 145,234
5a Gross rents.............. 513,698 513,698 513,698
b Net rental income or (loss) 225,100
6a Net gain or (loss) from sale of assets not on line 10 254,701
b Gross sales price for all assets on line 6a 2,258,854
7 Capital gain net income (from Part IV, line 2)... 254,701
8 Net short-term capital gain......... 256,445
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 934,861 934,861 936,605
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 4,000 4,000 4,000  
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 10,725 10,725 10,725  
c Other professional fees (attach schedule).... Click to see attachment 19,694 19,694 19,694  
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 3,334 3,334 3,334  
19 Depreciation (attach schedule) and depletion... Click to see attachment 45,833 45,833 45,833
20 Occupancy..............        
21 Travel, conferences, and meetings....... 1,794 1,794 1,794  
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 245,054 245,054 245,054  
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 330,434 330,434 330,434 0
25 Contributions, gifts, grants paid........ 1,032,371 1,032,371
26 Total expenses and disbursements. Add lines 24 and 25 1,362,805 330,434 330,434 1,032,371
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -427,944
b Net investment income (if negative, enter -0-) 604,427
c Adjusted net income (if negative, enter -0-)... 606,171
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 41,355 139,014 139,014
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 7,746 22,064  
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet3,427,605
Less: accumulated depreciation (attach schedule) bullet1,952,057 1,236,106 Click to see attachment1,475,548 3,215,000
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 3,999,625 3,828,566 4,815,029
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment600,616 Click to see attachment854 Click to see attachment854
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,885,448 5,466,046 8,169,897
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment49,658 Click to see attachment58,200
23 Total liabilities (add lines 17 through 22).......... 49,658 58,200
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 5,835,790 5,407,846
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 5,835,790 5,407,846
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,885,448 5,466,046
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 5,835,790
2 Enter amount from Part I, line 27a..................... 2 -427,944
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 5,407,846
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 5,407,846
Form 990-PF (2013)
Form 990-PF (2013)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 254,701
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3 256,445
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2012 424,454 8,427,720 0.05036
2011 411,687 8,342,670 0.04935
2010 426,769 8,611,245 0.04956
2009 440,518 9,194,380 0.04791
2008 461,941 9,598,477 0.04813
2 Total of line 1, column (d) ...................... 2 0.24531
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.04906
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 8,107,751
5 Multiply line 4 by line 3....................... 5 397,782
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 6,044
7 Add lines 5 and 6......................... 7 403,826
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,032,371
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2013)
Form 990-PF (2013)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 6,044
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 6,044
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 6,044
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 3,080
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 5,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,080
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,036
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet2,036 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
No
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA, IL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletEsper A Petersen Telephone no.bullet (847) 336-0900
    Located atbullet1 E Belvidere RoadGrayslakeIL ZIP+4bullet60030
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
    foreign country bullet  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2013?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If "Yes," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2013.)....................
    3b
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2013?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    Esper A Petersen Dir, Pres/Treas
    5.00     		1,000    
    1 E Belivere Road
    Grayslake,IL60030
    Ann Petersen Dir, VP
    5.00     		1,000    
    9185 Thrasher
    Los Angeles,CA90069
    Daniel Winkowski Secretary
    5.00     		1,000    
    18753 W Cottage Ave
    Lake Villa,IL60046
    Leslie Pam Dir/Asst Secr
    2.00     		1,000    
    9185 Thrasher
    Los Angeles,CA90069
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    405,388
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    6,044
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    6,044
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    399,344
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    600,000
    5
    Add lines 3 and 4............................
    5
    999,344
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    999,344
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 999,344
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 376,732
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 1,032,371
    a Applied to 2012, but not more than line 2a 376,732
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2013 distributable amount..... 655,639
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2013.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		343,705
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012....  
    e Excess from 2013....  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    Esper A Petersen Foundation
    1 E Belvidere Road
    Grayslake,IL60030
    (847) 336-0900
    bThe form in which applications should be submitted and information and materials they should include:
    No required form - Solicitations should include specific plans for the use of grants received, proof of 501(c)(3) status, and financial information regarding the organization.
    cAny submission deadlines:
    No specific deadlines
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Any restrictions are determined during the evaluation process.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    Health Reach
    1800 Grand Avenue
    Waukegan,IL60085     		    Assist in the health care of the poor and needy 24,590
    Village of Grayslake
    33 South Whitney
    Grayslake,IL60030     		    To provide financial assistance for a public park 208,481
    Villa Esperanza
    2060 E Villa Street
    Pasadena,CA91107     		    Provide for special needs children, adults and their families 1,000
    Los Angeles Opera
    135 North Grand Ave
    Los Angeles,CA90012     		    Support the opera's educational and community programs 53,500
    CLARE Foundation
    909 Pico Blvd
    Santa Monica,CA90405     		    Support recovery programs for those afflicted with addiction 30,000
    Planned Parenthood
    1920 Marengo St
    Los Angeles,CA90033     		    Provide affordable access to a full range of reproductive health care 21,000
    Cedar Sinai Medical Center
    8700 Beverly Blvd
    Los Angeles,CA90048     		    Provide affordable health care 31,000
    Muscular Dystrophy Association
    402 E Carrillo St C
    Santa Barbara,CA93101     		    Research for the prevention and cure of Muscular Dystrophy 10,000
    Salvation Army
    PO Box 5365
    Oxnard,CA93031     		    Support the adult rehabilitation center 1,000
    Los Angeles Chamber Orchestra
    707 Wilshire Blvd Suite 1850
    Los Angeles,CA90017     		    Support orchestra's education and outreach programs 11,000
    West Los Angeles Symphony Inc
    PO Box 25115
    Los Angeles,CA90028     		    To help bring world-class musical experiences to the greater Los Angeles area. 2,000
    St John's Health Care Found
    1600 N Rose Ave
    Oxnard,CA93030     		    Provide high-quality compassionate healthcare to the community 500
    Beverly Hills Women's Club
    1700 Chevy Chase Drive
    Beverly Hills,CA90210     		    Community resources for education, lectures and cultural events 800
    Tower Cancer Research Found
    9090 Wilshire Blvd Ste 200
    Beverly Hills,CA90211     		    To pursue exciting and novel treatments that are undergoing experimental evaluation and then offer these options to those patients whose medical condition may not have benefited from standard interventions 10,000
    Autry National Center
    4700 Western Heritage Way
    Los Angeles,CA90027     		    Support educational programs at the museum 15,000
    Friends of Robinson Gardens
    1008 Elden Way
    Beverly Hills,CA90210     		    To preserve and restore the Virginia Robinson gardens and estate 18,650
    Pleasant Valley Christian School
    1101 Ponderosa Drive
    Camarillo,CA93010     		    Support the school 25,050
    FOOD Share
    4156 Southbank Rd
    Oxnard,CA93036     		    To feed and educate the hungry of Ventura County 500,000
    Hilltop Nursery School
    3625 Marathon St
    Los Angeles,CA90026     		    To support the school's activities 1,000
    Los Angeles Regional Food Bank
    1934 E 41st St
    Los Angeles,CA90058     		    To support charitable distribution of food 20,000
    CARRY
    8306 Wilshire Blvd
    Beverly Hills,CA90211     		    To help change the lives of foster and at-risk youth suffering from skin disorders and physical illnesses 1,500
    Ganna Walska Lotusland
    695 Ashley Rd
    Santa Barbara,CA93108     		    To help provide the gardens and home of Lotusland as a place for the public to enjoy as a botanical destination and a learning experience 1,500
    Physicians for Responsible Medicine
    5100 Wisconsin Ave NW Suite 400
    Washington,DC20016     		    For the promotion of preventive medicine through innovative programs 1,100
    Lions Club of Grayslake
    PO Box 201
    Grayslake,IL60030     		    To support Shop with a Cop during the holiday season 500
    NOMAD Foundation
    307 E Ojai Avenue 103
    Ojai,CA93023     		    To build a boarding school for nomadic children in Nigeria 6,050
    Camarillo Hospice
    400 Rosewood Ave 102
    Camarillo,CA93010     		    To support the general fund, volunteer hospice & grief support center 2,000
    Funds for Resource Conservation
    PO Box 147
    Somis,CA93066     		    To support agriculture education 20,000
    Garden Conservancy
    PO Box 219
    Cold Spring,NY10516     		    To save, share, educate & advocate for gardens across America 1,500
    Grayslake Youth Center NFP Inc
    150 Harvey
    Grayslake,IL60030     		    To support a safe place for teenagers to go after school and on weekends. 1,000
    Help Them to Hope
    PO Box 364
    Gurnee,IL60031     		    To provide support and assistance for Lake County people in need 1,000
    House of Hope
    PO Box 921
    San Pedro,CA90733     		    To support recovery home for women to get clean/sober from drugs/alcohol 6,000
    Huntington Library
    1151 Oxford Rd
    San Marino,CA91108     		    To support events for the public to experience its collections, gardens & ground to promote lifelong learning 2,500
    Junior League of Los Angeles
    630 N Larchmont Blvd
    Los Angeles,CA90004     		    To support volunteerism among women of Los Angeles 500
    Women's Guild
    8700 Beverly Blvd Ste 2416
    Los Angeles,CA90048     		    To support programs at Cedars Sinai Medical Centers 2,650
    Total .................................bullet 3a 1,032,371
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		    14 21,228  
    4 Dividends and interest from securities....     14 145,234  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 225,100  
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 254,701  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   646,263  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13646,263
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID: 13000170
    Software Version: 2013v3.1


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Dam, Snell & Taveirne, Ltd. 7,125 7,125 7,125 0
    Nordic Properties, Ltd 3,600 3,600 3,600 0

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2013 DepreciationSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    1800 - Building 1999-05-01 84,070 29,683 87 2.56 % 2,156 2,156    
    Roof 1991-06-30 37,727 25,806 91 31.5000 1,198 1,198    
    Improvement 1992-06-30 5,142 3,350 91 31.5000 163 163    
    Roof 1994-06-30 1,500 761 87 2.56 % 38 38    
    Doors 1994-06-30 2,550 1,401 91 39.0000 65 65    
    Improvement 1996-06-30 8,300 3,446 91 39.0000 213 213    
    Doors 1996-06-30 6,990 3,233 91 39.0000 179 179    
    HVAC 1997-06-30 3,050 1,313 91 39.0000 78 78    
    Improvements 1997-06-30 5,228 2,253 91 39.0000 134 134    
    Improvements 1998-06-30 8,564 3,435 91 39.0000 220 220    
    Improvements 1998-01-01 125,189 51,805 91 39.0000 3,210 3,210    
    Improvements 1992-06-30 38,419 25,059 91 31.5000 1,220 1,220    
    Roof 1995-06-30 1,500 770 91 39.0000 19 19    
    Improvements 1996-06-30 18,185 8,412 91 39.0000 466 466    
    Improvement 1997-06-30 1,055 453 91 39.0000 27 27    
    Roof 1987-05-01 39,972 32,519 91 31.5000 1,269 1,269    
    HVAC 1993-08-01 6,921 3,831 91 39.0000 177 177    
    Building 1989-06-01 499,420 373,271 91 31.5000 15,855 15,855    
    Sign 1990-06-30 1,000 730 91 31.5000 32 32    
    Improvement 1992-04-01 2,670 1,758 91 31.5000 85 85    
    Roof 1993-05-01 16,677 10,385 91 31.5000 529 529    
    Improvement 1994-06-30 55,270 29,160 91 39.0000 1,417 1,417    
    2495 - Building 1993-02-12 190,000 114,862 91 31.5000 6,032 6,032    
    Improvement 1993-12-01 171,378 93,137 91 39.0000 4,394 4,394    
    Improvement 1994-06-30 7,870 4,155 91 39.0000 202 202    
    Improvement 1995-06-30 5,434 2,685 91 39.0000 139 139    
    Roof 1995-06-30 7,649 3,782 91 39.0000 98 98    
    Driveway 1996-06-30 6,264 2,903 91 39.0000 161 161    
    810 Improvements 2002-03-01 14,817 4,101 87 2.56 % 380 380    
    2495 Office renovation 2004-04-13 22,601 5,043 87 2.56 % 579 579    
    2451 Dock pit & leveler 2004-05-31 7,666 1,699 87 2.56 % 197 197    
    2451 Rehab unit 2471 2004-07-28 5,950 1,294 87 2.56 % 153 153    
    2371 Truck dock concrete 2004-06-01 10,462 2,290 87 2.56 % 268 268    
    2451 build-out Taz Freigh 2005-03-23 97,822 19,545 87 2.56 % 2,508 2,508    
    2371-2385 Roof 2013-07-03 167,508   87 1.18 % 1,972 1,972    

    TY 2013 GeneralExplanationAttachment
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Identifier Return Reference Explanation
      General Explanation Supplemental Information for Form 990-PF SCHEDULE OF OTHER ASSETS, Form 990-PF, Part II, Line 13The following represents the market value of investments held by the Foundation at Fifth Third Private Bank and First Allied as of December 31, 2013. Detailed account statements are available at the Foundations office.Money Market $ 132,843 Equities 2,870,845Alternative Strategies 504,762REIT 225,717 Fixed income 1,080,862 ----------Total $4,815,029 ==========

    TY 2013 InvestmentsLandSchedule2
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Buildings 3,009,034 1,952,057 1,056,977 3,215,000
    Land 418,571   418,571  

    TY 2013 OtherAssetsSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Utility deposit 616 854 854


    TY 2013 OtherExpensesSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Office and insurance 2,289 2,289 2,289  
    Rental Expenses 242,765 242,765 242,765  


    TY 2013 OtherLiabilitiesSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Description Beginning of Year - Book Value End of Year - Book Value
    Tenant's deposits 39,980 58,200
    Real estate tax credit 9,678  


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment fees-Fifth Third 16,499 16,499 16,499 0
    Investment fees-First Allied 13 13 13 0
    Investment fees-Union Bank 3,182 3,182 3,182 0


    TY 2013 TaxesSchedule
    Name:
    Esper A Petersen Foundation
    EIN: 36-6125570
    Software ID:13000170
    Software Version:2013v3.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Excise tax based on investment income 3,334 3,334 3,334