2020-03-27T08:43:59-05:00 2019-12-31 560574444 CHERRY BEKAERT LLP 1029 GREENE STREET AUGUSTA GA 30901 990EZ 2019-01-01 262647331 GREATER ATLANTA DENTAL FOUNDATION INC GREA 7702710634 7000 PEACHTREE DUNWOODY NE NO 20 ATLANTA GA 30328 DR THOMAS JAGOR PRESIDENT 7702710634 2020-03-19 1 KATHERINE MOOSARIPARAMBIL P01361871 7067243557 67.173.220.64 2020-03-19 17:50:03 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3A4BF1219698F5D6C2B7A21C22F2D88322611E38 2019 2020-09-22 18:59:49Z X X HTTP://WWW.NDDS.ORG/GADF/INDEX.HTML X X 90293 X 25393 5155 808 58937 42045 16892 48248 20500 1449 480 3743 26172 22076 249305 0 271381 X 249378 276215 0 1560 249378 277775 73 6394 249305 271381 ENHANCE DENTAL CARE IN THE COMMUNITY. OPERATION OF A FREE/LOW COST DENTAL CLINIC THAT ENHANCES HEALTHCARE IN THE COMMUNITY. 0 0 0 BEN JERNIGAN DMD PRESIDENT 1.00 0 0 0 SIDNEY TOURIAL DDS VICE PRESIDENT 1.00 0 0 0 TROY SCHULMAN DDS TREASURER 1.00 0 0 0 HENRY BENSON DDS TRUSTEE 1.00 0 0 0 VICTOR VAN GREUNINGEN DMD TRUSTEE 1.00 0 0 0 THOMAS JAGOR DDS TRUSTEE 1.00 0 0 0 AMY KUHMICHEL DMD TRUSTEE 1.00 0 0 0 RYAN VAUGHN DMD TRUSTEE 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GA LISA VANZANDT 7000 PEACHTREE DUNWOODY RD NE STE 200 ATLANTA GA 30328 7702710453 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X 66191 89312 37448 36157 30548 259656 66191 89312 37448 36157 30548 259656 259656 371 472 607 741 808 2999 262655 177175 0.98860 0.98970 X GALA FOR SMILES 84187 25250 58937 21533 3676 16836 84187 25250 58937 21533 3676 16836 42045 16892 FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME DESCRIPTION: INTEREST INCOME. AMOUNT: 808. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: DDD FOUNDATION. GRANTEE ADDRESS: 52 EXECUTIVE PARK S #5203 ATLANTA, GA 30324. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 2,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: GOOD SAMARITAN DENTAL CLINIC. GRANTEE ADDRESS: 1015 DONALD LEE HOLLOWELL PKWY NW ATLANTA, GA 30318. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: GREEN WARREN DENTAL CLINIC. GRANTEE ADDRESS: 810 PINE ST GAINESVILLE, GA 30501. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 4,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: BEN MASSELL DENTAL CLINIC. GRANTEE ADDRESS: 700 14TH ST NW ATLANTA, GA 30318. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 3,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: GOOD SAMARITAN HEALTH CENTER OF GWINNETT, INC.. GRANTEE ADDRESS: 3700 CLUB DR LAWRENCEVILLE, GA 30044. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 4,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: TRUTH'S COMMUNITY CHURCH. GRANTEE ADDRESS: 250 LANGLEY DRIVE, SUITE 1316 LAWRENCEVILLE, GA 30046. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 2,000. FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: DENTAL SERVICES. GRANTEE NAME: ST. JOSEPH'S MERCY CARE. GRANTEE ADDRESS: 424 DECATUR ST SE ATLANTA, GA 30312. GRANTEE RELATIONSHIP: NONE. AMOUNT GIVEN: 2,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 20,500. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: CREDIT CARD FEES. AMOUNT: 3,606. DESCRIPTION: TELEPHONE. AMOUNT: 137. TOTAL TO FORM 990-EZ, LINE 16: 3,743. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 560. DESCRIPTION: PREPAID GALA EXPENSE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 1,000. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 73. END OF YEAR AMOUNT: 950. DESCRIPTION: DUE TO GDA. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 5,444. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.