PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION (EIN 20-1468244)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2024-11-13
IRS object ID: 202403189349305765
Schema version: 2023v5.1
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
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-13T10:27:12-08:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010756964	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MALLARD MALLARD CPAS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1109 BROOKDALE ST STE B	AddressLine1Txt
City	MARTINSVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201468244	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Piedmont Virginia Dental Health Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PIED	BusinessNameControlTxt
Phone	2766329266	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Starling Avenue	AddressLine1Txt
City	Martinsville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24112	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Mark Crabtree DDS	PersonNm
Person Title	President	PersonTitleTxt
Phone	2766329266	PhoneNum
Signature	2024-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brandon L Martin	PreparerPersonNm
PTIN	P01685537	PTIN
Phone	2766325754	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Mark Crabtree DDS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Starling Ave	AddressLine1Txt
City	Martinsville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24112	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$34,007	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.piedmontdental.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	To operate a dental clinic to provide free and reduced fee dental services to unemployed and uninsured adults, needy children and Medicaid patients who have been unable to acquire such services.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$123,556	PYContributionsGrantsAmt
CY Contributions Grants	$28,122	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	-$8,647	PYInvestmentIncomeAmt
CY Investment Income	$5,883	CYInvestmentIncomeAmt
PY Other Revenue	$4,409	PYOtherRevenueAmt
CY Other Revenue	$2	CYOtherRevenueAmt
PY Total Revenue	$119,318	PYTotalRevenueAmt
CY Total Revenue	$34,007	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$30,204	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,560	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,950	PYOtherExpensesAmt
CY Other Expenses	$50,356	CYOtherExpensesAmt
PY Total Expenses	$58,154	PYTotalExpensesAmt
CY Total Expenses	$69,916	CYTotalExpensesAmt
PY Revenues Less Expenses	$61,164	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$35,909	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,985	TotalAssetsBOYAmt
Total Assets EOY	$218,358	TotalAssetsEOYAmt
Total Liabilities BOY	$30,130	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$817	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$231,855	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$217,541	NetAssetsOrFundBalancesEOYAmt
Mission	To operate a dental clinic to provide free and reduced fee dental services to unemployed and uninsured adults, needy children and Medicaid patients who have been unable to acquire such services.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$47,388	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	The Foundation operates a dental clinic staffed by a dentist and students from the Virginia Commonwealth University School of Dentistry. The dental students are supervised by the dentist and volunteer local area practicing dentists. Free or reduced fee dental services are provided to needy individuals.	Desc
Total Program Service Expenses	$47,388	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	false	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Mark A Crabtree DDS	PersonNm
Phone	2766329266	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Starling Avenue	AddressLine1Txt
City	Martinsville	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24112	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Mark A Crabtree DDS
President	7.00	Yes (X)	Yes (X)	$0	$0	$0
Edward P Snyder DDS
Vice President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Ann C Huffman
Sec/Treasurer	10.00	Yes (X)	Yes (X)	$19,155	$0	$0
M Gene Teague
Director	1.00	Yes (X)		$0	$0	$0
Paul R Eason MD
Director	1.00	Yes (X)		$0	$0	$0
Jermaine Shelton
Director	1.00	Yes (X)		$0	$0	$0
Lisa Watkins
Director	1.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$19,155	TotalReportableCompFromOrgAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
All Other Contributions	$28,122	AllOtherContributionsAmt
Total Contributions	$28,122	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,883	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,883	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Miscellaneous	Desc
Business	900099	BusinessCd
Total Revenue Column	$2	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,007	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$5,883	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$19,155	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$19,155	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$383	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$383	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$22	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$625	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$625	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,434	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,434	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$30	TotalAmt
Program Services	$30	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,973	TotalAmt
Program Services	$1,973	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,400	TotalAmt
Program Services	$26,400	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$280	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$280	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Student services	$18,985	$18,985	$0	$0
Miscellaneous	$629	$0	$629	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,916	TotalAmt
Program Services	$47,388	ProgramServicesAmt
Management And General	$22,528	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,443	BOYAmt
EOY	$40,629	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$146,815	BOYAmt
EOY	$55,406	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$0	LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,727	BOYAmt
EOY	$122,323	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,985	BOYAmt
EOY	$218,358	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,508	BOYAmt
EOY	$817	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$27,622	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,130	BOYAmt
EOY	$817	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$231,855	BOYAmt
EOY	$217,541	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$231,855	BOYAmt
EOY	$217,541	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,985	BOYAmt
EOY	$218,358	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$35,909	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,595	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind
Other Support Sum	$0	OtherSupportSumAmt
Public Support CY170	0	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$307,778	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$272,801	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$179,933	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$123,556	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,122	CurrentTaxYearAmt
Total	$912,190	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$169,917	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$38,362	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$16,705	CurrentTaxYearMinus2YearsAmt
Total	$224,984	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$477,695	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$311,163	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$196,638	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$123,556	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,122	CurrentTaxYearAmt
Total	$1,137,174	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$201,065	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$201,064	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,836	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,606	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,622	CurrentTaxYearAmt
Total	$603,193	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$201,065	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$201,064	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$150,836	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$22,606	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,622	CurrentTaxYearAmt
Total	$603,193	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$533,981	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$7	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,566	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,883	CurrentTaxYearAmt
Total	$7,468	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$7	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,566	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,883	CurrentTaxYearAmt
Total	$7,468	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Total	$1,144,642	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.46650	PublicSupportCY509Pct
Public Support PY509	0.51920	PublicSupportPY509Pct
Investment Income CY	0.00650	InvestmentIncomeCYPct
Investment Income PY	0.00100	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 2	Ann C. Huffman is Mark A. Crabtrees sister. Ann C. Huffman is also an employee of Martinsville Smiles, PLLC, where Mark A. Crabtree is a shareholder.
Pt VI, Line 11b	The Foundation provides a copy of the tax return for review at board of directors meeting before filing.
Pt VI, Line 19	The Foundation makes its governing documents, conflict of interest policy, and finanical statements avilable to the public upon request, either for viewing in the Foundations office or providing copies to the requester.
Pt XI	Rounding