2025-08-18T11:26:37-05:00 2024-12-31 991856619 GRANT THORNTON ADVISORS LLC 53 STATE STREET SUITE 1600 BOSTON MA 02109 990 2024-01-01 262700504 DELTA DENTAL OF ILLINOIS FOUNDATION DELT 6307184890 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 JOHN DECRISTOFARO AVP FINANCE & CONTROLLER 6307184890 2025-08-18 1 0 ERIN COUTURE P01390592 3128560200 2024 2025-03-06 01:10:19Z PRAVEEN THADANI 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 2942269 0 X WWW.DELTADENTALIL.COM/DDILFOUNDATION X 2008 IL IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH (CONT IN SCH O) 4 0 0 0 0 0 713376 480467 0 0 389089 1528723 0 0 1102465 2009190 1646173 2539304 0 0 0 0 0 0 0 84779 95939 1730952 2635243 -628487 -626053 19731786 20261966 181702 402698 19550084 19859268 DELTA DENTAL OF ILLINOIS FOUNDATION WAS FORMED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH EDUCATION AND ACCESS TO QUALITY HEALTHCARE. 0 0 1825131 1355226 IMPROVING THE ORAL HEALTH OF ILLINOIS RESIDENTS, PARTICULARLY CHILDREN, THROUGH ITS PROGRAMMING. EACH OF OUR PROGRAMS REACHES STUDENTS, FAMILIES, CHILDREN, DENTAL AND HEALTH PROFESSIONALS AND COMMUNITIES IN ILLINOIS. THE FOUNDATION'S PROGRAMS FOCUS ON OUR THREE CORE THEMES - ORAL HEALTH EDUCATION AND AWARENESS, ACCESS TO ORAL HEALTH CARE AND EDUCATION FOR ORAL HEALTH PROFESSIONALS. 725471 709352 IMPROVING ACCESS TO DENTAL CARE BY BRINGING ORAL HEALTH EDUCATION AND ASSISTANCE TO ILLINOIS CHILDREN AND FAMILIES IN A VARIETY OF WAYS. OUR LAND OF SMILES ORAL HEALTH EDUCATION PROGRAM VISITS SCHOOLS TO GIVE DENTAL CARE TIPS AND DEMONSTRATE PROPER TECHNIQUES IN AN ENGAGING AND IMPACTFUL WAY. 2550602 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X JOHN DECRISTOFARO 6307184890 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 JOHN MAPLES PRESIDENT & DIRECTOR 5.00 40.00 X X 0 1700983 7384 TERRI BON TREASURER & DIRECTOR 5.00 40.00 X X 0 717411 44859 ALEXANDRA PIETRINI DIRECTOR 5.00 40.00 X 0 423578 34424 LORA VITEK EXECUTIVE DIRECTOR OF FOUNDATION 40.00 5.00 X 0 238106 19303 0 3080078 105970 0 0 1 0 ELKAY SALES INC 1333 BUTTERFIELD ROAD SUITE 200 DOWNERS GROVE IL 60515 INSTALLATION SERVICES 270380 NATIONAL THEATRE FOR CHILDREN 7003 W LAKE STREET STE 200 MINNEAPOLIS MN 55426 EDUCATIONAL PROGRAMING 260401 RICHARDS GRAPHIC COMMUNICATION INC 2700 VAN BUREN ST BELLWOOD IL 60104 COMMERCIAL PRINTER 101176 3 88568 391899 480467 461802 461802 2000000 933079 1066921 1066921 1066921 2009190 0 0 1528723 2539304 2539304 11298 11298 24900 24900 43538 43538 5900 5900 10277 10277 LICENSING & FEES 26 26 2635243 2550602 84641 0 1683804 2731740 500000 0 21106 23460 34935 12667 0 0 0 0 17491941 17494099 0 0 0 0 0 0 19731786 20261966 181702 402698 0 0 0 0 181702 402698 X 14550084 14859268 5000000 5000000 19550084 19859268 19731786 20261966 -626053 935237 0 X 0 1 X 1 0 X X 1 DELTA DENTAL OF ILLINOIS 362612058 10 1 2550601 0 1 2550601 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2 DDIL FOUNDATION HAS A SUPPORTED ORGANIZATION, DELTA DENTAL OF ILLINOIS (DDIL). THE ORGANIZATION DOES NOT HAVE AN IRS DETERMINATION OF A STATUS UNDER SECTION 509(A)(1) OR (2), AS IT IS A 501(C)(4) ORGANIZATION. DDIL, HOWEVER, PREPARES A PUBLIC CHARITY CALCULATION TO DETERMINE IT MEETS THE PUBLIC SUPPORT TEST, AND HAS VERIFIED IT WOULD MEET THE OVERALL TEST UNDER 509(A)(2). PART IV, SECTION A, LINE 3C DDIL FOUNDATION DOES ENSURE THAT ALL SUPPORT TO DDIL IN 2024 WAS EXCLUSIVELY USED FOR SECTION 170(C)(2)(B) PURPOSES. PER THE ORGANIZATION'S GOVERNING DOCUMENTS, ARTICLE 1 SECTION 1.1 PURPOSE: "THE FOUNDATION IS ORGANIZED, AND AT ALL TIMES SHALL BE OPERATED, EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE CHARITABLE PURPOSES OF DELTA DENTAL OF ILLINOIS." RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5000000 5000000 5000000 5000000 15709277 10709277 5000000 15709277 15709277 12709277 3000000 15709277 1.00000 0 0 0 0 0 0 0 X 3320602 935237 376175 1311412 2009190 0 2009190 3011418 376175 376175 2635243 0 2635243 PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS TO SUPPORT THE LONG TERM OPERATION OF THE FOUNDATION. PART X, LINE 2: ASC 740 FOOTNOTE THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AS A NOT-FOR-PROFIT ORGANIZATION. THE FOUNDATION'S APPLICATION OF U.S. GAAP REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE FOUNDATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. THE FOUNDATION WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. PART XI, LINE 2B AND PART XII, LINE 2A THE $376,175 OF DONATED SERVICES ON PART XI AND XII REPRESENTS SALARY, WAGE AND BENEFIT ALLOCATIONS FOR TIME DONATED TO THE FOUNDATION FROM DELTA DENTAL OF ILLINOIS. 1 UNIVERSITY OF ILLINOIS FOUNDATION PO BOX 734500 CHICAGO IL 60673 376006007 501(C)(3) 500000 0 FUND TO SUPPORT THE UNIVERSITY OF ILLINOIS CHICAGO COLLEGE OF DENTISTRY AND SCHOLARSHIPS FOR STUDENTS TO ATTEND IMMERSIVE CARE CONFERENCE. OSF HEALTHCARE SYSTEM 530 NE GLEN OAK AVE PEORIA IL 61637 370813229 501(C)(3) 200000 0 SUPPORT TO EXPAND AND ADVANCE COMMUNITY DENTAL SERVICES, WITH A GOAL OF PREVENTING DENTAL DISEASE, PROMOTING ORAL HEALTH, SUSTAINING THE PROVISION OF DENTALCARE FOR VULNERABLE POPULATIONS, AND CONSERVING THE PEDIATRIC DENTAL ROTATION FOR THE GENERAL PRACTICE RESIDENCY (GPR) FOR GENERAL DENTISTS IN THE PEORIA REGION ADVOCATE CHARITABLE FOUNDATION 2025 WINDSOR DR OAK BROOK IL 60523 363297360 501(C)(3) 145000 0 SUPPORT ADVOCATE CHILDRENS HOSPITALS DENTAL VAN THAT PROVIDES QUALITY, COMPREHENSIVE AND AFFORDABLE DENTAL CARE TO UNDERSERVED CHILDREN THROUGHOUT THE CHICAGOLAND AREA. TCA HEALTH INC 1029 EAST 130TH STREET CHICAGO IL 60628 362743287 501(C)(3) 100000 0 PROVIDE THE TRAINING AND RESOURCES NECESSARY TO DELIVER HIGH-QUALITY DENTAL TREATMENT TO PERSONS WITH DISABILITIES. MIDWESTERN UNIVERSITY 5531 31ST ST DOWNERS GRPVE IL 60115 363377699 501(C)(2) 100000 0 STUDENT SCHOLARSHIPS HISPANIC DENTAL ASSOCIATION FOUNDATION 17225 EL CAMINO REALSTE 150 HOUSTON TX 77058 363994951 501(C)(3) 50000 0 SCHOLARSHIPS AND MENTORSHIP FOR DENTAL AND DENTAL HYGIENE STUDENTS DENTAL LIFELINE NETWORK 1800 15TH ST SUITE 100 DENVER CO 80202 846129064 501(C)(3) 30000 0 ANNUAL SUPPORT FOR VETERANS ORAL HEALTH SERVICES. AMERICAN DIABETES ASSOCIATION PO BOX 7023 MERRIFIELD VA 22116 131623888 501(C)(3) 25000 0 ANNUAL SUPPORT FOR ILLINOIS CAMPS CATS CARE 4141 IL RT 84 S HANOVER IL 61041 831410605 501(C)(3) 20000 0 CATS CARE PROVIDES SERVICES TO THE COMMUNITIES IN HANOVER, ELIZABETH AND JO DAVIESS COUNTIES. CATS CARE WILL USE FUNDING TO BRING A DENTAL PROGRAM TO RIVER RIDGE SCHOOL IN JO DAVIESS COUNTY AND PROVIDE STUDENTS WITH EXAMS, CLEANINGS, AND RESTORATIVE CARE. DOUGLAS COUNTY HEALTH DEPARTMENT 1250 EAST US HIGHWAY 36 TUSCOLA IL 61953 376000728 501(C)(3) 20000 0 DOUGLAS COUNTY HEALTH DEPARTMENT WILL USE FUNDS TO UPGRADE EQUIPMENT IN A TREATMENT ROOM IN THEIR DENTAL CLINIC. THIS WILL RESULT IN A DECREASE IN APPOINTMENT TIMES, ALLOWING MORE CHILDREN TO CONTINUE TO RECEIVE SERVICES AND IMPROVE THEIR ORAL HEALTH AND OVERALL WELLNESS EFFINGHAM COUNTY HEALTH DEPARTMENT 901 W VIRGINIA AVE EFFINGHAM IL 62401 376000771 501(C)(3) 20000 0 FUNDING WILL BE USED TO SUPPORT A COMMUNITY HEALTH EDUCATOR WHO WILL PROVIDE COMMUNITY OUTREACH AND EDUCATION IN EFFINGHAM COUNTY AT COMMUNITY EVENTS. FUNDING WILL ALSO HELP SUPPORT THEIR MOBILE DENTAL UNITS AND PROFESSIONAL PARTNERS IN PROVIDING FREE FLUORIDE TREATMENTS, CLEANINGS, AND SILVER DIAMINE FLUORIDE TO THOSE WHO QUALIFY. IWS FAMILY HEALTH 3600 W FULLERTON CHICAGO IL 60647 362167752 501(C)(3) 20000 0 FUNDING WILL HELP CULTIVATE A DENTAL HOME FOR CHILDREN IN COMMUNITIES WITH A HIGH NUMBER OF INDIVIDUALS LIVING IN POVERTY OR WITH LOWER INCOMES. THE DENTAL HOME HAS SEVEN OPERATORIES AND AN ENCLOSED OPERATORY FOR CHILDREN WITH DISABILITIES. THE BICULTURAL AND BILINGUAL STAFF CONSISTS OF FOUR DENTISTS, A DENTAL HYGIENIST AND FOUR EXPANDED-DUTY DENTAL ASSISTANTS. THEY USE A FAMILY-CENTERED, ACCESSIBLE APPROACH TO CARE ORGANIZATION-WIDE AND IN THE DENTAL HOME. MOBILE CARE CHICAGO 239 W ROOT ST CHICAGO IL 60609 362340313 501(C)(3) 20000 0 MOBILECARE'S MOBILE DENTAL PROGRAM SERVES AS THE LARGEST MOBILE ORAL HEALTH PROVIDER IN COOK COUNTY AND BEYOND, EXTENDING ITS REACH AS FAR SOUTH AS CHICAGO HEIGHTS AND AS FAR NORTH AS WAUKEGAN IN LAKE COUNTY. FUNDING WILL ENABLE CLINIC STAFF TO CONTINUE TO PROVIDE COMPREHENSIVE ORAL HEALTH SERVICES. OAK PARK RIVER FOREST INFANT WELFARE SOCIETY 28 MADISON STREET OAK PARK IL 60302 369002074 501(C)(3) 20000 0 FUNDING WILL SUPPORT THE IWS CHILDREN'S CLINIC EFFORTS TO PROVIDE A DENTAL HOME FOR PATIENTS THROUGH COMPREHENSIVE CARE, ORAL HEALTH EDUCATION, BEHAVIORAL HEALTH SCREENINGS AND A PORTABLE DENTISTRY PROGRAM IN SCHOOLS. PRIMECARE COMMUNITY HEALTH INC 2211 N ELSTON AVE SUITE 301 CHICAGO IL 60614 363845253 501(C)(3) 20000 0 PRIMECARE WILL USE FUNDING TO INCREASE ACCESS TO ORAL HEALTH CARE FOR CHILDREN ON CHICAGO'S WESTSIDE. THEIR DENTAL PROGRAM PROVIDES A WIDE RANGE OF CARE TO CHILDREN, INCLUDING PREVENTIVE ORAL HEALTH CARE, ORAL HEALTH EDUCATION AND PERSONALIZED PLANS. ILLINOIS STATE DENTAL SOCIETY FOUNDATION PO BOX 217 SPRINGFIELD IL 62705 237244932 501(C)(3) 20000 0 PROGRAMMATIC SUPPORT FOR MISSION OF MERCY SPECIAL OLYMPICS ILLINOIS 605 E WILLOW ST NORMAL NORMAL IL 61761 362922811 501(C)(3) 20000 0 SUPPORT SOILL'S SPECIAL SMILES ORAL HEALTH PROGRAM FOR YOUTH ATHLETES WITH INTELLECTUAL DISABILITIES (ID) IN ILLINOIS. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 1737 W POLK ST 304 AOB CHICAGO IL 60612 376000511 501(C)(3) 19061 0 FUNDING FOR UIC COLLEGE OF DENTISTRY DENTAL CAMP HENDERSON COUNTY RURAL HEALTH CENTER INC 1204 HWY 164 E OQUAWKA IL 61469 371067171 501(C)(3) 18966 0 THIS PROJECT AIMS TO IMPROVE DIAGNOSTIC CAPABILITIES FOR CHILDREN BY UPGRADING ESSENTIAL EQUIPMENT TO ENSURE ACCURATE AND EFFICIENT X-RAY SERVICES, AS WELL AS INCREASE THE NUMBER OF CHILDREN WHO RECEIVE THESE SERVICES. FUNDING WILL BE USED TO REPLACE DYSFUNCTIONAL X-RAY SENSORS, WHICH ARE CRITICAL FOR OBTAINING CLEAR AND RELIABLE IMAGES, AND TO PURCHASE A NOMAD HANDHELD X-RAY DEVICE. THE REPLACEMENT AND NEW PURCHASE WILL ALSO INCREASE THEIR ABILITY TO ADMINISTER X-RAYS IN NON-TRADITIONAL SETTING, SUCH AS SCHOOLS. CHICAGO HOPES FOR KIDS 318 W ADAMS ST SUITE 600C CHICAGO IL 60606 274360899 501(C)(3) 15000 0 FUNDING TO SUPPORT TUTORING AND EDUCATION FOR CHILDREN/YOUTH WHO ARE HOMELESS OR RESIDING IN AFFORDABLE HOUSING CHAMPAIGN-URBANA PUBLIC HEALTH DISTRICT 201 W KENYON RD CHAMPAIGN IL 61820 376005435 501(C)(3) 14358 0 THE PUBLIC HEALTH DISTRICT WILL USE FUNDING TO PILOT A PROJECT IMPLEMENTING THE APPLICATION OF SILVER DIAMINE FLUORIDE (SDF) IN THEIR SCHOOL-BASED DENTAL PROGRAM AND INCREASE KNOWLEDGE OF SDF AMONG SCHOOL NURSES. AMERICAN LUNG ASSOCIATION 55 W WACKER DR SUITE 800 CHICAGO IL 60601 131632524 501(C)(3) 10250 0 ANNUAL SUPPORT FOR THEIR WALK AND CLIMB NEW YORK UNIVERSITY 421 FIRST AVE 10W NEW YORK NY 10010 135562308 501(C)(3) 10000 0 COLLEGE OF DENTISTRY - IMMERSIVE TRAINING SESSIONS CLAY COUNTY HEALTH DEPARTMENT 601 E 12TH ST FLORA IL 62839 371224687 501(C)(3) 10000 0 CLAY COUNTY HEALTH DEPARTMENT WILL USE FUNDING FOR THEIR PUBLIC HEALTH EDUCATOR TO ATTEND COMMUNITY EVENTS AND PROVIDE ORAL HEALTH EDUCATION AND AWARENESS. FUNDING WILL ALSO SUPPORT HAVING MOBILE DENTAL UNITS AND PROFESSIONAL PARTNERS TO PROVIDE FREE PREVENTIVE DENTAL CARE TO THE COMMUNITY. ERIE FAMILY HEALTH CENTERS 1701 W SUPERIOR STREET 3RD FLOOR CHICAGO IL 60622 363088628 501(C)(3) 10000 0 FUNDING WILL SUPPORT STAFF AT ERIE HEALTHREACH WAUKEGAN AS THEY PROVIDE HIGH-QUALITY, COMPREHENSIVE ORAL HEALTH CARE TO CHILDREN, AS WELL AS ORAL HEALTH EDUCATION TO BOTH THEIR CHILD PATIENTS AND THEIR CAREGIVERS. GIRLS IN THE GAME 1401 S SACRAMENTO DR CHICAGO IL 60623 364024533 501(C)(3) 10000 0 GIRLS IN THE GAME ELEMENTARY AFTER SCHOOL PROGRAM PROVIDES AFTER SCHOOL SESSIONS THAT INCLUDE PLAYING SPORTS, LEARNING ABOUT HEALTHY LIFESTYLE CHOICES AND IMPROVING THEIR LEADERSHIP SKILLS IN AN ALL-GIRL SETTING. FUNDING WILL SUPPORT BOTH IN-PERSON AND VIRTUAL PERSONAL HYGIENE ROTATIONS, WHICH INCLUDE ORAL HEALTH AND HYGIENE EDUCATION. MCDONOUGH COUNTY HEALTH DEPT 505 EAST JACKSON ST MACOMB IL 61455 376001537 501(C)(3) 10000 0 FUNDING WILL SUPPORT THE EXPANSION OF THE MCDONOUGH COUNTY HEALTH DEPARTMENT'S ORAL HEALTH PROGRAM BY OFFERING FLUORIDE VARNISH TO WIC (WOMEN, INFANT AND CHILDREN) CLIENTS AS AN ADDITIONAL PREVENTIVE MEASURE. THE HEALTH DEPARTMENT WILL ALSO CREATE A CASE MANAGEMENT PROGRAM FOR CHILDREN IN NEED OF EXTENSIVE DENTAL TREATMENT TO NAVIGATE CARE. MILESTONE DENTAL CLINIC 4060 MCFARLAND RD ROCKFORD IL 61111 362769801 501(C)(3) 10000 0 THE GOAL OF MILESTONE DENTAL CLINIC IS TO DEVELOP AN INDIVIDUALIZED TREATMENT PLAN FOR PATIENTS WITH DEVELOPMENT DISABILITIES TO MEET THE SPECIFIC NEEDS OF EACH PATIENT. FUNDING WILL HELP COVER THE COST OF ORAL EXAMS, CLEANINGS AND FLUORIDE TREATMENTS FOR PATIENTS WITH NO ABILITY TO PAY OR WHO ARE NOT COVERED BY INSURANCE OR ILLINOIS MEDICAID. RIVERBEND HEAD START & FAMILY SERVICES 550 LANDMARKS BLVD ALTON IL 62002 370681548 501(C)(3) 10000 0 RIVERBEND HEAD START AND FAMILY SERVICES ORAL HEALTH EDUCATION AND ACCESS PROJECT PROVIDES ACCESS TO ORAL HEALTH SERVICES FOR AT-RISK CHILDREN UNDER THE AGE OF FIVE, INCLUDING ORAL HEALTH EDUCATION FOR CHILDREN AND THEIR CAREGIVERS. FUNDING WILL SUPPORT DENTAL SCREENINGS, TREATMENTS, AND SURGERIES FOR FAMILIES WHO MAY OTHERWISE NOT RECEIVE SERVICES. WELL CHILD CENTER 620 WING ST ELGIN IL 60123 237348349 501(C)(3) 10000 0 FUNDING WILL SUPPORT THE WELL CHILD CENTER'S PEDIATRIC DENTAL CLINIC AND FIRST TOOTH VISIT PROGRAM TO PROVIDE COMPREHENSIVE ORAL HEALTH CARE SERVICES AND EDUCATION FOR LOW-INCOME CHILDREN AT LOW- OR NO-COST. RUSH UNIVERSITY MEDICAL CENTER 1201 W HARRISON ST SUITE 300 CHICAGO IL 60607 362174823 501(C)(3) 6900 0 SUPPORT THE CREATION OF AN ORAL HEALTH CHAMPION IN ILLINOIS, TO COLLABORATE WITH A VARIETY OF MEDICAL EDUCATION AND PRIMARY CARE TRAINING INSTITUTIONS-INCLUDING MEDICAL AND OSTEOPATHIC SCHOOLS, PHYSICIAN ASSISTANT AND NURSE PRACTITIONER PROGRAMS, AS WELL AS FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, AND OBSTETRICS RESIDENCIES-TO ENHANCE THE ORAL HEALTH CURRICULUM THEY PROVIDE. SOCIETY OF AMERICAN INDIAN DENTIST 230 FAIRVIEW DRIVE CARSON CITY NV 89701 205966903 501(C)(3) 6581 0 THE TELLING THE STORY OF A PATH TO DENTISTRY: CONNECTING AI/AN DENTISTS WITH AMERICAN INDIAN AND ALASKAN NATIVE AI/AN YOUTH PROGRAM ENCOURAGES MORE NATIVE YOUTH TO CONSIDER AND WORK TOWARD A CAREER IN DENTISTRY PLANET SMILEZ INC 493 FORD HILL ROAD HUNTER NY 12442 471378352 501(C)(3) 6581 0 THE PLANET SMILEZ DISCOVERING DENTISTRY SYMPOSIUM IS A ONE-DAY IMMERSIVE EVENT DESIGNED FOR MIDDLE AND HIGH SCHOOL STUDENTS FROM EDUCATIONALLY AND ECONOMICALLY UNDERSERVED DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. AMERICAN DENTAL EDUCATION ASSOCIATION 655 K STREET NW SUITE 800 WASHINGTON DC 20001 911993281 501(C)(3) 6581 0 PATHWAYS TO SMILES AIMS TO INSPIRE FUTURE ORAL HEALTH PROFESSIONALS THROUGH AN INTERACTIVE, HANDS-ON CURRICULUM IN PARTNERSHIP WITH THE AREA HEALTH EDUCATION CENTER (AHEC). THE PROGRAM WILL ENGAGE STUDENTS BY HIGHLIGHTING THE IMPORTANCE OF ORAL HEALTH'S CONNECTION OVERALL HEALTH AND PROVIDING A CLEAR UNDERSTANDING OF THE ACADEMIC PATHWAY INTO THE DENTAL PROFESSION. IOWA DENTAL CLINIC 329 DENTAL SCIENCE N IOWA CITY IA 52242 426004813 501(C)(3) 6500 0 SPONSORSHIP OF THE ANNUAL REGIONAL DENTAL PUBLIC HEALTH CONFERENCE NCH FOUNDATION 3040 W SALT CREEK LN ARLINGTON HEIGHTS IL 60005 362340313 501(C)(3) 6028 0 NORTHWEST COMMUNITY HOSPITALS' MOBILE DENTAL CLINIC OPERATES FOUR TO FIVE DAYS PER WEEK AND OFFERS AN ARRAY OF PREVENTIVE AND RESTORATIVE DENTAL SERVICES TO ADULTS AND CHILDREN IN THE NORTHWEST SUBURBS. FUNDING WILL SUPPORT DENTAL SERVICES AT DISTRICT 214'S SPECIALIZED SCHOOLS, WHICH ARE COMPRISED OF SIX PROGRAMS DESIGNED TO MEET THE NEEDS OF UNIQUE LEARNERS. ILLINOIS PRIMARY HEALTH CARE 1999 WABASH AVENUE STE 200 SPRINGFIELD IL 62704 363369241 501(C)(3) 6000 0 SUPPORT OF ILLINOIS ANNUAL ORAL HEALTH CONFERENCE UNIVERSITY OF ILLINOIS FOUNDATION PO BOX 734500 CHICAGO IL 60673 376006007 501(C)(3) 5875 0 FUND TO SUPPORT THE UNIVERSITY OF ILLINOIS CHICAGO COLLEGE OF DENTISTRY AND SCHOLARSHIPS FOR STUDENTS TO ATTEND IMMERSIVE CARE CONFERENCE. TCA HEALTH INC 1029 EAST 130TH STREET CHICAGO IL 60628 362743287 501(C)(3) 5832 0 PROVIDE THE TRAINING AND RESOURCES NECESSARY TO DELIVER HIGH-QUALITY DENTAL TREATMENT TO PERSONS WITH DISABILITIES. DIVERSITY IN DENTISTRY MENTORSHIPS INC 4729 E SUNRISE DR PMB 147 TUCSON AZ 85718 852395210 501(C)(3) 5265 0 FUNDED THE DIVERSIFY DENTISTRY YOUTH SUMMIT EMPOWERS MIDDLE AND HIGH SCHOOL STUDENTS FROM UNDERREPRESENTED RACIAL AND ETHNIC BACKGROUNDS TO CONSIDER A CAREER IN DENTISTRY 39 1 PART I, LINE 2: GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS IN U.S. THE FOUNDATION REVIEWS AND ANALYZES REQUESTS FOR CHARITABLE GRANTS ON AN ONGOING BASIS. GRANTS ARE AWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE, A COMMUNITY BENEFIT, AND WHO WILL PUT THE USE OF THE FUNDS TOWARD THE CHARITABLE MISSION FOR WHICH THE FOUNDATION WAS FOUNDED. DEPENDING ON THE USE OF THE GRANT, FOLLOW-UP EVALUATION IS PERFORMED THROUGH QUESTIONNAIRES OR MANAGEMENT VISITS OR INTERVIEWS. GRANT FUNDS MAY BE REVOCABLE IF THE GRANTEES' PERFORMANCE OR USE OF FUNDS DOES NOT ALIGN WITH TERMS OF THE GRANT. 0 0 0 0 0 0 0 0 0 JOHN MAPLES PRESIDENT & DIRECTOR 0 878945 0 787674 0 34364 0 0 0 7384 0 1708367 0 0 TERRI BON TREASURER & DIRECTOR 0 501027 0 206928 0 9456 0 30500 0 14359 0 762270 0 0 ALEXANDRA PIETRINI DIRECTOR 0 285932 0 128088 0 9558 0 23000 0 11424 0 458002 0 0 LORA VITEK EXECUTIVE DIRECTOR OF FOUNDATION 0 159422 0 69120 0 9564 0 11802 0 7501 0 257409 0 0 FORM 990, PART I, LINE 1 EDUCATION AND ACCESS TO QUALITY HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS DELTA DENTAL OF ILLINOIS IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT DELTA DENTAL OF ILLINOIS AS SOLE MEMBER HAS THE POWER TO ELECT, APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OR STOCKHOLDERS SUBJECT TO APPROVAL THE SOLE MEMBER HAS THE AUTHORITY TO AUTHORIZE ANY PURCHASING, BORROWING OR DEBT FINANCING IN EXCESS OF A SPECIFIED LIMIT. THE SOLE MEMBER ALSO ESTABLISHES THE PHILOSOPHY AND THE MISSION ACCORDING TO WHICH THE FOUNDATION OPERATES AND CAN AMEND THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE MEMBER CAN AUTHORIZE THE MERGER OR DISSOLVE THE FOUNDATION; AND TRANSACT TO SELL, PLEDGE OR TRANSFER ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A DRAFT OF FORM 990, INCLUDING ALL SCHEDULES, WHICH ARE REVIEWED WITH ALL VOTING MEMBERS OF THE GOVERNING BODY. MANAGEMENT ADDRESSES ANY QUESTIONS OR COMMENTS SUBMITTED BY THE ORGANIZATION'S GOVERNING BODY BEFORE FILING ITS FORM 990, AND THE FINALIZED FORM IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE OFFICERS AND DIRECTORS (TRUSTEES). AFTER THIS REVIEW, THE INDIVIDUALS OCCUPYING THESE POSITIONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. POTENTIAL CONFLICTS ARE LOGGED WITH THE SECRETARY OF THE ORGANIZATION AND ANY CHANGES TO THE DISCLOSURE FORM ARE TO BE REPORTED TO THE LEGAL OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. DELTA DENTAL OF ILLINOIS 111 SHUMAN BLVD NAPERVILLE IL 60563 362612058 ORAL HEALTH IL 501(C)(4) N/A 0 NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 841939908 TECHNOLOGY DE DDIL DDWI & CORVESTA INC 0 0 CONCORDE INVESTMENT HOLDINGS LLC 1513 COUNTY CLUB RD SHERWOOD AR 72120 994541334 INVESTMENT HOLDING COMPANY DE DDIL & OMEGA ADMINISTRATORS INC 0 0 TRUASSURE INSURANCE COMPANY 111 SHUMAN BLVD NAPERVILLE IL 60563 363757528 DENTAL INS. IL C 0 PROTEC INSURANCE COMPANY 111 SHUMAN BLVD NAPERVILLE IL 60563 320416457 HEALTH INS. IL C 0 TRUASSURE INSURANCE COMPANY OF COLORADO 111 SHUMAN BLVD NAPERVILLE IL 60563 812595283 DENTAL INS. CO C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 DELTA DENTAL OF ILLINOIS C 88568 FMV DELTA DENTAL OF ILLINOIS O 376175 FMV