STRATEGY STUDIO / PUBLIC DATA EXPLORER

PACIFIC DENTAL SERVICES FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PACIFIC DENTAL SERVICES FOUNDATION (EIN 45-5083789)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202243159349102739
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-11T17:53:07-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN953001179PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WINDES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 87AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP908010087ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455083789EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PACIFIC DENTAL SERVICES FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPACIBusinessNameControlTxt
Phone7148458500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117000 RED HILL AVENUEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92614ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOANNA RODGERSPersonNm
Person TitleVICE CHAIRMANPersonTitleTxt
Phone7148458500PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOANNAPersonFirstNm
Person LastRODGERSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONITA M JOSEPHPreparerPersonNm
PTINP00286656PTIN
Phone5624351191PhoneNum
Preparation2022-11-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
PF60 Month Term Sect507b1 BYes (X)PF60MonthTermSect507b1BInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,743,226FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,392,248ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$2,004DividendsRevAndExpnssAmt
Dividends Net Invst Incm$2,004DividendsNetInvstIncmAmt
Dividends Adj Net Incm$2,004DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$9,596NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$9,596GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$9,596CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$369,814OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$369,814OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$1,773,662TotalRevAndExpnssAmt
Total Net Invst Incm$11,600TotalNetInvstIncmAmt
Total Adj Net Incm$371,818TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$504,647OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$273,592OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$231,055OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$12,600PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$6,831PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$5,769PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$12,274LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$7,513LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$4,761LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$9,600AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$5,876AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$3,724AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$60,337OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$38OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$36,948OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$23,389OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$15,249TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$8,267TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$6,982TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$90,398DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$90,027DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$79,585OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$79,585OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$10,575TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$8,723TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$1,852TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$176,052OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$124,595OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$51,457OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$971,317TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$38TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$641,957TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$328,989TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$298,310ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$298,310ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,269,627TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$38TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$641,957TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$627,299TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$504,035ExcessRevenueOverExpensesAmt
Net Investment Income$11,562NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$839,220CashBOYAmt
Cash EOY$967,319CashEOYAmt
Cash EOYFMV$967,319CashEOYFMVAmt
Acct Rcvbl$138,404AcctRcvblAmt
Acct Rcvbl BOY$39,061AcctRcvblBOYAmt
Acct Rcvbl EOY$138,404AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$138,404AcctRcvblEOYFMVAmt
Rcvbl From Officers EOY$19,459RcvblFromOfficersEOYAmt
Rcvbl From Officers EOYFMV$19,459RcvblFromOfficersEOYFMVAmt
Prepaid Expenses BOY$24,210PrepaidExpensesBOYAmt
Prepaid Expenses EOY$27,087PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$27,087PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$136,002CorporateStockBOYAmt
Corporate Stock EOY$147,429CorporateStockEOYAmt
Corporate Stock EOYFMV$147,429CorporateStockEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$974,639LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$532,162LandBldgEquipAccumDeprecAmt
Land BOY$530,558LandBOYAmt
Land EOY$442,477LandEOYAmt
Land EOYFMV$442,477LandEOYFMVAmt
Other Assets BOY$3,975OtherAssetsBOYAmt
Other Assets EOY$1,051OtherAssetsEOYAmt
Other Assets EOYFMV$1,051OtherAssetsEOYFMVAmt
Total Assets BOY$1,573,026TotalAssetsBOYAmt
Total Assets EOY$1,743,226TotalAssetsEOYAmt
Total Assets EOYFMV$1,743,226TotalAssetsEOYFMVAmt
Accounts Payable BOY$251,049AccountsPayableBOYAmt
Accounts Payable EOY$246,960AccountsPayableEOYAmt
Other Liabilities BOY$329,611OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities BOY$580,660TotalLiabilitiesBOYAmt
Total Liabilities EOY$246,960TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$992,366NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$1,466,912NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets EOY$29,354DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$992,366TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,496,266TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,573,026TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,743,226TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$992,366TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$504,035ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,496,401SubtotalAmt
Other Decreases$135OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,496,266TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyCAPITAL GAINS DIVIDENDSPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$9,596GrossSalesPriceAmt
Gain Or Loss$9,596GainOrLossAmt
Gains Minus Excess Or Losses$9,596GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$9,596CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$161InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$161SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$161TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$161TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (1)PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressPDSFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksJOANNA RODGERSIndividualWithBooksNm
Phone7148458500PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line117000 RED HILL AVENUEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92614ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnYes (1)BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHEN THORNE
17000 RED HILL AVENUEIRVINECA92614PRESIDENT0.00$0$0$0
DR JACK DILLENBERG
17000 RED HILL AVENUEIRVINECA92614DIRECTOR1.00$0$0$0
DR CAROLYN GHAZAL
17000 RED HILL AVENUEIRVINECA92614DIRECTOR0.00$0$0$0
JOANNA RODGERS
17000 RED HILL AVENUEIRVINECA92614VICE CHAIRMAN0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1THE PDS FOUNDATION MOBILE DENTAL CLINIC SERVES CHALLENGED URBAN AREAS AND RURAL COMMUNITIES IN NEED. THE MOBILE DENTAL CLINIC ALSO PARTICIPATES IN MAJOR COMMUNITY HEALTHCARE EVENTS WITH PARTNERS TO PROVIDE FREE DENTAL CARE AND SPREAD ORAL HEALTH AWARENESS.Description1Txt
Expenses1$10,579Expenses1Amt
Description2PACIFIC DENTAL SERVICES, LLC (PDS)-SUPPORTED DOCTORS AND TEAM MEMBERS SPEND A WEEK PROVIDING FREE DENTISTRY TO PEOPLE IN VILLAGES, CHURCHES, ORPHANAGES, AND HEALTH CLINICS. TO HELP ENACT LASTING CHANGE, THE FOUNDATION WORKS IN PARTNERSHIP WITH LOCAL MEDICAL COLLEGES TO PROVIDE CLINICAL TRAINING AND CRITICAL SUPPLIES AND EQUIPMENT TO LOCAL DENTAL PROFESSIONALS.Description2Txt
Expenses2$78,924Expenses2Amt
Description3REALIZING THE IMPORTANCE OF CAREER DEVELOPMENT AND FINANCIAL STABILITY FOR DISADVANTAGED WOMEN, THE SCHOLARSHIP PROGRAM WILL PROVIDE FINANCIAL ASSISTANCE TO WOMEN SEEKING ECONOMIC INDEPENDENCE THROUGH EDUCATION, MENTORSHIP AND ON-THE-JOB TRAINING. AWARDS WILL BE GIVEN BASED ON APPLICATION EXCELLENCE, WRITTEN ESSAY, FORMAL INTERVIEW AND FINANCIAL NEED.Description3Txt
Expenses3$297,693Expenses3Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$143,604AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$810,600AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$954,204TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$954,204AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$14,313CashDeemedCharitableAmt
Net Vl Noncharitable Assets$939,891NetVlNoncharitableAssetsAmt
Minimum Investment Return$46,995MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$627,299ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$627,299QualifyingDistributionsAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$627,299CurrentYearAmt
Year1$805,953Year1Amt
Year2$1,136,276Year2Amt
Year3$657,205Year3Amt
Total$3,226,733TotalAmt

Qualifying Distri Not Used Drt QualifyingDistriNotUsedDrtGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$627,299CurrentYearAmt
Year1$805,953Year1Amt
Year2$1,136,276Year2Amt
Year3$657,205Year3Amt
Total$3,226,733TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Current Year$1,743,226CurrentYearAmt
Year1$1,573,026Year1Amt
Year2$2,004,908Year2Amt
Year3$1,195,440Year3Amt
Total$6,516,600TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Current Year$1,743,226CurrentYearAmt
Year1$1,573,026Year1Amt
Year2$2,004,908Year2Amt
Year3$1,195,440Year3Amt
Total$6,516,600TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support TotalSupportGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Public Support Type PublicSupportType

FieldValueIRS element (for citing)
Total$0TotalAmt

Largest Support From EO LargestSupportFromEOGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Investment Income GrossInvestmentIncomeGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerSTEPHEN THORNEContributingManagerNm
Contributing ManagerDR CAROLYN GHAZALContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonJOANNA RODGERSRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line117000 RED HILL AVENUEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92614ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7148458500RecipientPhoneNum
Recipient Email AddressPDSFOUNDATION@PACDEN.COMRecipientEmailAddressTxt
Form And Info And MaterialsAPPLICATIONS SHOULD BE SUBMITTED EITHER IN WRITTEN FORM (ON 8.5" X 11") OR BY EMAIL TO PDSFOUNDATION@PACDEN.COM. APPLICATIONS SHOULD INCLUDE - 1) NAME, ADDRESS, TELEPHONE NUMBER AND WEB SITE OF REQUESTING ORGANIZATION. 2) COPY OF MOST RECENT TWO YEARS' INDEPENDENT AUDITORS' REPORT ON REQUESTING ORGANIZATION, IF AVAILABLE. 3) A DESCRIPTION OF CHARITABLE ACTIVITIES FOR WHICH GRANT IS REQUESTED, INCLUDING LOCATION. 4) PERSONS OR CAUSES BENEFITED BY THE ACTIVITIES. 5) AMOUNT AND DATE(S) OF REQUESTED GRANT(S). 6) INFORMATION ABOUT PRIOR CHARITABLE ACTIVITIES OF THE REQUESTING ORGANIZATION. 7) CONTACT INFORMATION (ADDRESS, PHONE # AND EMAIL) OF INDIVIDUAL SUBMITTING REQUEST.FormAndInfoAndMaterialsTxt
Submission DeadlinesAT LEAST 6 MONTHS PRIOR TO REQUESTED DATESubmissionDeadlinesTxt
Restrictions On AwardsREQUESTED GRANTS AND AWARDS MUST BE CONSISTENT WITH THE FOUNDATION'S CHARITABLE PURPOSERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADVANCED DENTAL ASSISTING TRAINING SCHOOL
7430 HERITAGE VILLAGE PLAZA 201GAINESVILLEVA20155GOVSCHOLARSHIP$3,295
ARIZONA SPECIAL NEEDS CLINIC
4550 E BELL RD BUILDING 1 STE 106PHOENIXAZ85032GOVSCHOLARSHIP$617
CARRINGTON COLLEGE
8909 FOLSOM BLVDSACRAMENTOCA95826GOVSCHOLARSHIP$75,000
CLACKAMAS COMMUNITY COLLEGE
19600 MOLALLA AVEOREGON CITYOR97045GOVSCHOLARSHIP$5,000
CONCORDE CAREER COLLEGE
12951 S EUCLID STREET SUITE 101GARDEN GROVECA92840GOVSCHOLARSHIP$90,000
DAKOTA COUNTY TECHNICAL COLLEGE
1300 145TH STREET EASTROSEMOUNTMN55068GOVSCHOLARSHIP$10,000
FLORIDA CAREER COLLEGE
16485 LAGUNA CANYON RD SUITE 300IRVINECA92618GOVSCHOLARSHIP$10,000
HENNEPIN TECHNICAL COLLEGE FOUNDATION
9000 BROOKLYN BLVDBROOKLYN PARKMN55445GOVSCHOLARSHIP$5,000
HERZIG UNIVERSITY
435 FORD ROAD SUITE 1000ST LOUIS PARKMN55426GOVSCHOLARSHIP$15,000
HIGH DESERT MEDICAL COLLEGE
2000 24TH STBAKERSFIELDCA93301GOVSCHOLARSHIP$5,000
LANE COMMUNITY COLLEGE
PO BOX 50850EUGENEOR974050999GOVSCHOLARSHIP$5,000
PASADENA CITY COLLEGE FOUNDATION
1570 E COLORADO BLVDPASADENACA91106GOVSCHOLARSHIP$5,000
PIMA MEDICAL INSTITUTE
9709 3RD AVE NE SUITE 400SEATTLEWA98155GOVSCHOLARSHIP$10,000
SOUTHEASTERN TECHNICAL INSTITUTE
250 FOUNDRY STSOUTH EASTONMA02375GOVSCHOLARSHIP$9,398
UEI COLLEGE
16485 LAGUNA CANYON RD STE 300IRVINECA92618GOVSCHOLARSHIP$40,000
UNITEK COLLEGE
1111 HOWE AVESACRAMENTOCA95825GOVSCHOLARSHIP$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$298,310TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,004ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$9,596ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Related Or Exempt Function Incm$369,814RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$11,600ExclusionAmt
Related Or Exempt Function Incm$369,814RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$381,414TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship StatementPATIENT REVENUE IN CONNECTION WITH PROVIDING DENTAL CARERelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (10 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
STEVE AND PAMELA THORNE FOUNDATION
12460 PASEO VERDE PKWY STE 145HENDERSONNV89074$50,000Yes (X)
PACIFIC DENTAL SERVICES
217000 RED HILL AVENUEIRVINECA92614$500,000Yes (X)
CAROLYN GHAZAL LIVING TRUST
31231 MONTE VISTA DRREDLANDSCA92373$95,000Yes (X)
BANK OF THE WEST
4PO BOX 5170SAN RAMONCA94583$5,000Yes (X)
GUIDEHOUSE
51676 INTERNATIONAL DRMCLEANVA22102$7,500Yes (X)
JOE SAPORITO
6PO BOX 1092MORRISONCO90465$5,000Yes (X)
MEDUSIND SOLUTIONS
77083 GRAND NATIONAL DRIVE SUITE 102ORLANDOFL32819$5,000Yes (X)
NUWORLD BUSINESS SYSTEMS
813125 MIDWAY PLACECERRITOSCA90703$5,000Yes (X)
ON LINE DESIGN
912059 SHERATON LANECINCINNATIOH45246$7,500Yes (X)
PATTERSON COMPANIES
101031 MENDOTA HEIGHTS ROADST PAULMN55120$100,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$9,600Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$5,876AdjustedNetIncomeAmt
Disbursements Charitable Prps$3,724DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierRELATED PARTY TRANSACTIONSIdentifierTxt
Form And Line ReferenceFORM 990-PF, PART II, LINE 6 AND 22FormAndLineReferenceDesc
Medium ExplanationTHE FOUNDATION AND PDS HAVE SHARED OFFICERS AND DIRECTORS. AT DECEMBER 31, 2021 AND 2020, THE FOUNDATION HAS ADVANCES DUE FROM PDS TOTALING $19,459 AND ADVANCES DUE TO PDS TOTALING $329,611, RESPECTIVELY. THE ADVANCES ARE DUE ON DEMAND AND CURRENTLY CARRY NO INTEREST; HOWEVER, MANAGEMENT DOES NOT EXPECT THE AMOUNT TO BE PAID BACK IN 2022.MediumExplanationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockMUTUAL FUNDSStockNm
EOY Book Value$147,429EOYBookValueAmt
EOYFMV$147,429EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$12,274LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$7,513AdjustedNetIncomeAmt
Disbursements Charitable Prps$4,761DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION IN PROGESSDesc
BOY Book Value$3,975BOYBookValueAmt
EOY Book Value$1,051EOYBookValueAmt
EOYFMV$1,051EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$135Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
AUTOMOBILE EXPENSE$1,276$0$1,276$0
BANK CHARGES$22,365$0$20,826$1,539
SUPPLIES AND INSTRUMENTS$44,209$0$44,209$0
INSURANCE EXPENSE$52,503$0$16,759$35,744
OFFICE EXPENSE$35,920$0$31,730$4,190
ADVERTISING AND PROMOTIONS$8,473$0$2,220$6,253
MISCELLANEOUS$4,152$0$421$3,731
REPAIRS AND MAINTENANCE$7,154$0$7,154$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Revenue And Expenses Per Books$369,814RevenueAndExpensesPerBooksAmt
Adjusted Net Income$369,814AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
BOY Book Value$329,611BOYBookValueAmt
EOY Book Value$0EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTING$60,299$0$36,910$23,389
INVESTMENT FEES$38$38$38$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryPAYROLL TAXCategoryTxt
Amt$15,249Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$8,267AdjustedNetIncomeAmt
Disbursements Charitable Prps$6,982DisbursementsCharitablePrpsAmt