2022-11-11T17:53:07-06:00 2021-12-31 953001179 WINDES INC PO BOX 87 LONG BEACH CA 908010087 990PF 2021-01-01 455083789 PACIFIC DENTAL SERVICES FOUNDATION PACI 7148458500 17000 RED HILL AVENUE IRVINE CA 92614 JOANNA RODGERS VICE CHAIRMAN 7148458500 2022-11-08 1 JOANNA RODGERS 999009999 DONITA M JOSEPH P00286656 5624351191 2022-11-07 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X X 1743226 X 1392248 2004 2004 2004 9596 9596 9596 0 369814 0 369814 1773662 11600 371818 0 0 0 0 504647 0 273592 231055 12600 0 6831 5769 12274 0 7513 4761 9600 0 5876 3724 60337 38 36948 23389 15249 0 8267 6982 90398 0 90027 79585 0 79585 0 10575 0 8723 1852 176052 0 124595 51457 971317 38 641957 328989 298310 298310 1269627 38 641957 627299 504035 11562 0 839220 967319 967319 138404 39061 138404 138404 19459 19459 24210 27087 27087 136002 147429 147429 974639 532162 530558 442477 442477 3975 1051 1051 1573026 1743226 1743226 251049 246960 329611 0 580660 246960 X 992366 1466912 29354 992366 1496266 1573026 1743226 992366 504035 0 1496401 135 1496266 CAPITAL GAINS DIVIDENDS P 9596 9596 9596 9596 0 161 0 161 0 161 0 0 0 0 0 0 161 0 0 0 0 0 0 0 0 0 0 1 1 CA 1 1 0 0 0 1 PDSFOUNDATION.ORG JOANNA RODGERS 7148458500 17000 RED HILL AVENUE IRVINE CA 92614 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 STEPHEN THORNE 17000 RED HILL AVENUE IRVINE CA 92614 PRESIDENT 0.00 0 0 0 DR JACK DILLENBERG 17000 RED HILL AVENUE IRVINE CA 92614 DIRECTOR 1.00 0 0 0 DR CAROLYN GHAZAL 17000 RED HILL AVENUE IRVINE CA 92614 DIRECTOR 0.00 0 0 0 JOANNA RODGERS 17000 RED HILL AVENUE IRVINE CA 92614 VICE CHAIRMAN 0.00 0 0 0 NONE 0 NONE 0 THE 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. 10579 PACIFIC 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. 78924 REALIZING 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. 297693 0 143604 810600 0 954204 0 0 954204 14313 939891 46995 X 627299 0 627299 X 0 0 0 0 0 0 0 0 0 0 627299 805953 1136276 657205 3226733 0 0 0 0 0 627299 805953 1136276 657205 3226733 1743226 1573026 2004908 1195440 6516600 1743226 1573026 2004908 1195440 6516600 0 0 0 0 0 STEPHEN THORNE DR CAROLYN GHAZAL JOANNA RODGERS 17000 RED HILL AVENUE IRVINE CA 92614 7148458500 PDSFOUNDATION@PACDEN.COM APPLICATIONS 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. AT LEAST 6 MONTHS PRIOR TO REQUESTED DATE REQUESTED GRANTS AND AWARDS MUST BE CONSISTENT WITH THE FOUNDATION'S CHARITABLE PURPOSE ADVANCED DENTAL ASSISTING TRAINING SCHOOL 7430 HERITAGE VILLAGE PLAZA 201 GAINESVILLE VA 20155 GOV SCHOLARSHIP 3295 ARIZONA SPECIAL NEEDS CLINIC 4550 E BELL RD BUILDING 1 STE 106 PHOENIX AZ 85032 GOV SCHOLARSHIP 617 CARRINGTON COLLEGE 8909 FOLSOM BLVD SACRAMENTO CA 95826 GOV SCHOLARSHIP 75000 CLACKAMAS COMMUNITY COLLEGE 19600 MOLALLA AVE OREGON CITY OR 97045 GOV SCHOLARSHIP 5000 CONCORDE CAREER COLLEGE 12951 S EUCLID STREET SUITE 101 GARDEN GROVE CA 92840 GOV SCHOLARSHIP 90000 DAKOTA COUNTY TECHNICAL COLLEGE 1300 145TH STREET EAST ROSEMOUNT MN 55068 GOV SCHOLARSHIP 10000 FLORIDA CAREER COLLEGE 16485 LAGUNA CANYON RD SUITE 300 IRVINE CA 92618 GOV SCHOLARSHIP 10000 HENNEPIN TECHNICAL COLLEGE FOUNDATION 9000 BROOKLYN BLVD BROOKLYN PARK MN 55445 GOV SCHOLARSHIP 5000 HERZIG UNIVERSITY 435 FORD ROAD SUITE 1000 ST LOUIS PARK MN 55426 GOV SCHOLARSHIP 15000 HIGH DESERT MEDICAL COLLEGE 2000 24TH ST BAKERSFIELD CA 93301 GOV SCHOLARSHIP 5000 LANE COMMUNITY COLLEGE PO BOX 50850 EUGENE OR 974050999 GOV SCHOLARSHIP 5000 PASADENA CITY COLLEGE FOUNDATION 1570 E COLORADO BLVD PASADENA CA 91106 GOV SCHOLARSHIP 5000 PIMA MEDICAL INSTITUTE 9709 3RD AVE NE SUITE 400 SEATTLE WA 98155 GOV SCHOLARSHIP 10000 SOUTHEASTERN TECHNICAL INSTITUTE 250 FOUNDRY ST SOUTH EASTON MA 02375 GOV SCHOLARSHIP 9398 UEI COLLEGE 16485 LAGUNA CANYON RD STE 300 IRVINE CA 92618 GOV SCHOLARSHIP 40000 UNITEK COLLEGE 1111 HOWE AVE SACRAMENTO CA 95825 GOV SCHOLARSHIP 10000 298310 0 14 2004 14 9596 PATIENT REVENUE 369814 0 11600 369814 381414 11A PATIENT REVENUE IN CONNECTION WITH PROVIDING DENTAL CARE 0 0 0 0 0 0 0 0 0 0 X X 1 STEVE AND PAMELA THORNE FOUNDATION 2460 PASEO VERDE PKWY STE 145 HENDERSON NV 89074 50000 X 2 PACIFIC DENTAL SERVICES 17000 RED HILL AVENUE IRVINE CA 92614 500000 X 3 CAROLYN GHAZAL LIVING TRUST 1231 MONTE VISTA DR REDLANDS CA 92373 95000 X 4 BANK OF THE WEST PO BOX 5170 SAN RAMON CA 94583 5000 X 5 GUIDEHOUSE 1676 INTERNATIONAL DR MCLEAN VA 22102 7500 X 6 JOE SAPORITO PO BOX 1092 MORRISON CO 90465 5000 X 7 MEDUSIND SOLUTIONS 7083 GRAND NATIONAL DRIVE SUITE 102 ORLANDO FL 32819 5000 X 8 NUWORLD BUSINESS SYSTEMS 13125 MIDWAY PLACE CERRITOS CA 90703 5000 X 9 ON LINE DESIGN 12059 SHERATON LANE CINCINNATI OH 45246 7500 X 10 PATTERSON COMPANIES 1031 MENDOTA HEIGHTS ROAD ST PAUL MN 55120 100000 X ACCOUNTING 9600 0 5876 3724 RELATED PARTY TRANSACTIONS FORM 990-PF, PART II, LINE 6 AND 22 THE 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. MUTUAL FUNDS 147429 147429 LEGAL 12274 0 7513 4761 CONSTRUCTION IN PROGESS 3975 1051 1051 UNREALIZED LOSS 135 AUTOMOBILE EXPENSE 1276 0 1276 0 BANK CHARGES 22365 0 20826 1539 SUPPLIES AND INSTRUMENTS 44209 0 44209 0 INSURANCE EXPENSE 52503 0 16759 35744 OFFICE EXPENSE 35920 0 31730 4190 ADVERTISING AND PROMOTIONS 8473 0 2220 6253 MISCELLANEOUS 4152 0 421 3731 REPAIRS AND MAINTENANCE 7154 0 7154 0 PATIENT REVENUE 369814 369814 DUE TO AFFILIATES 329611 0 CONSULTING 60299 0 36910 23389 INVESTMENT FEES 38 38 38 0 PAYROLL TAX 15249 0 8267 6982