PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION (EIN 20-1468244)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-11-07
IRS object ID: 202203119349301315
Schema version: 2020v4.1
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	2022-11-07T13:07:54-08:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	411 E CHURCH ST	AddressLine1Txt
City	MARTINSVILLE	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	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	2022-11-02	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Mark	PersonFirstNm
Person Last	Crabtree DDS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
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	$311,699	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	6	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$307,778	PYContributionsGrantsAmt
CY Contributions Grants	$272,801	CYContributionsGrantsAmt
PY Program Service Revenue	$169,917	PYProgramServiceRevenueAmt
CY Program Service Revenue	$38,362	CYProgramServiceRevenueAmt
PY Investment Income	$12	PYInvestmentIncomeAmt
CY Investment Income	$6	CYInvestmentIncomeAmt
CY Other Revenue	$530	CYOtherRevenueAmt
PY Total Revenue	$477,707	PYTotalRevenueAmt
CY Total Revenue	$311,699	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$298,605	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$194,930	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,808	PYOtherExpensesAmt
CY Other Expenses	$193,581	CYOtherExpensesAmt
PY Total Expenses	$477,413	PYTotalExpensesAmt
CY Total Expenses	$388,511	CYTotalExpensesAmt
PY Revenues Less Expenses	$294	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$76,812	CYRevenuesLessExpensesAmt
Total Assets BOY	$219,245	TotalAssetsBOYAmt
Total Assets EOY	$145,440	TotalAssetsEOYAmt
Total Liabilities BOY	$779	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,786	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$218,466	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$141,654	NetAssetsOrFundBalancesEOYAmt
Mission	The Foundation's mission is to operate a dental clinic to improve the oral health of the community's disadvantaged citizens through oral health education and dental and dental hygiene services. The clinic's patient care goal is to provide the maximum amount of access to dental care for our uninsured, unemployed and low income population. Its externship goal is to provide VCU dental students (externs) with a real-life, general denistry, private practice experience in a state of the art dental facility.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$352,227	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$38,892	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	$352,227	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	6	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

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)	$19,480	$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	$19,480	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Federated Campaigns	$10,000	FederatedCampaignsAmt
Government Grants	$14,496	GovernmentGrantsAmt
All Other Contributions	$248,305	AllOtherContributionsAmt
Total Contributions	$272,801	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Program service revenue	Desc
Business	621300	BusinessCd
Total Revenue Column	$38,362	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$38,362	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Miscellaneous	Desc
Business	900099	BusinessCd
Total Revenue Column	$530	TotalRevenueColumnAmt
Related Or Exempt Func Income	$530	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$530	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$311,699	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,892	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$19,480	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$19,480	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$136,191	TotalAmt
Program Services	$136,191	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,287	TotalAmt
Program Services	$3,287	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,153	TotalAmt
Program Services	$22,153	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,819	TotalAmt
Program Services	$12,329	ProgramServicesAmt
Management And General	$1,490	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,370	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,370	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,454	TotalAmt
Program Services	$4,246	ProgramServicesAmt
Management And General	$10,208	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$252	TotalAmt
Program Services	$252	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$52,340	TotalAmt
Program Services	$52,340	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,825	TotalAmt
Program Services	$3,825	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,236	TotalAmt
Program Services	$11,236	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,798	TotalAmt
Program Services	$4,798	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Outside services	$34,500	$34,500	$0	$0
Dental supplies	$55,968	$55,968	$0	$0
Development expense	$3,792	$3,792	$0	$0
Miscellaneous	$3,820	$3,820	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,226	TotalAmt
Program Services	$3,490	ProgramServicesAmt
Management And General	$1,736	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$388,511	TotalAmt
Program Services	$352,227	ProgramServicesAmt
Management And General	$36,284	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$106,005	BOYAmt
EOY	$42,643	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$64,704	BOYAmt
EOY	$64,710	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,868	BOYAmt
EOY	$8,333	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,746	BOYAmt
EOY	$10,068	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$6,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$219,613	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$205,927	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$24,922	BOYAmt
EOY	$13,686	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$219,245	BOYAmt
EOY	$145,440	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$779	BOYAmt
EOY	$3,786	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$779	BOYAmt
EOY	$3,786	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	$212,598	BOYAmt
EOY	$133,321	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,868	BOYAmt
EOY	$8,333	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$218,466	BOYAmt
EOY	$141,654	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$219,245	BOYAmt
EOY	$145,440	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$76,812	ReconcilationRevenueExpnssAmt
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	$380,183	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$295,904	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$315,931	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$307,778	CurrentTaxYearMinus1YearAmt
Current Tax Year	$272,801	CurrentTaxYearAmt
Total	$1,572,597	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$197,870	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$202,667	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$191,920	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$169,917	CurrentTaxYearMinus1YearAmt
Current Tax Year	$38,362	CurrentTaxYearAmt
Total	$800,736	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	$578,053	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$498,571	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$507,851	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$477,695	CurrentTaxYearMinus1YearAmt
Current Tax Year	$311,163	CurrentTaxYearAmt
Total	$2,373,333	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$193,810	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$183,426	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$201,066	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$201,065	CurrentTaxYearMinus1YearAmt
Current Tax Year	$201,064	CurrentTaxYearAmt
Total	$980,431	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	$193,810	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$183,426	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$201,066	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$201,065	CurrentTaxYearMinus1YearAmt
Current Tax Year	$201,064	CurrentTaxYearAmt
Total	$980,431	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,392,902	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$26	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12	CurrentTaxYearMinus1YearAmt
Total	$74	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$21	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$26	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12	CurrentTaxYearMinus1YearAmt
Total	$74	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Total	$2,373,407	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.58690	PublicSupportCY509Pct
Public Support PY509	0.60590	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.00000	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

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,355	OtherCostOrOtherBasisAmt
Depreciation	$123,783	DepreciationAmt
Book Value	$7,572	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,258	OtherCostOrOtherBasisAmt
Depreciation	$82,144	DepreciationAmt
Book Value	$6,114	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$13,686	TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Pt VI, Line 2	Ann C. Huffman is Mark A. Crabtree's 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 Foundation's office or providing copies to the requester.