2020-07-14T16:38:06-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2019-01-01 390965289 WISCONSIN DENTAL ASSOCIATION FOUNDATION INC WISC 4142764520 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 MARK PAGET SECRETARY 4142764520 2020-06-30 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2020-06-30 67.137.57.251 2020-06-30 14:43:28 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 79CAEAC9685E4363DF1FE6832FD543A1A8C00E82 2019 2021-01-29 14:40:06Z VICTORIA BOHMAN 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 351846 0 X WWW.WDA.ORG/WDA-FOUNDATION X 1957 WI SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 18 18 3 513 0 0 282882 229573 0 0 147559 110378 -1789 -6153 428652 333798 72226 54367 0 0 120659 123585 0 0 2486 209642 79699 402527 257651 26125 76147 3028618 3469980 12333 13103 3016285 3456877 SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 0 0 71773 DONATED DENTAL SERVICES - PROVIDED DENTAL SERVICES VALUED AT $462,634.50 FOR DENTAL TREATMENT OF DISABLED, ELDERLY AND MEDICALLY-COMPROMISED INDIVIDUALS WHO COULD NOT AFFORD THE DENTAL CARE NEEDED. 0 0 0 PROGRAM WAS NOT UTILIZED IN 2019. PROVIDED FREE DENTAL CARE TO 0 UNINSURED, LOW-INCOME INDIVIDUALS VALUED AT $0 OVER A TWO-DAY PERIOD IN MILWAUKEE, WI. 90794 54367 ENHANCES EDUCATIONAL OPPORTUNITIES BY AWARDING SCHOLARSHIPS TO DENTAL AND DENTAL HYGIENE STUDENTS IN THE STATE OF WISCONSIN AND PROVIDED GRANTS IN SUPPORT OF STATEWIDE COMMUNITY DENTAL HEALTH PROJECTS AND CLINICS WHERE DENTAL CARE IS PROVIDED TO THE LOW INCOME POPULATION. 162567 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 3 1 0 0 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X ABBY VAN KERKVOORDE 4147554102 6737 W WASHINGTON STREET WEST ALLIS WI 53214 DR JAMES MORGENROTH PRESIDENT 3.00 X X 0 0 0 DR SUSAN CABLE TREASURER 3.00 X X 0 0 0 MR MARK PAGET SECRETARY 3.00 X X 0 0 0 DR ROGER COMEAU EMERITUS MEMBER 1.00 X 0 0 0 DR ANTHONY SCIASCIA EMERITUS MEMBER 1.00 X 0 0 0 MR DENNIS MCGUIRE EMERITUS MEMBER 1.00 X 0 0 0 DR CHRISTINE TEMPAS VICE PRESIDENT 3.00 X X 0 0 0 DR LOREN SWANSON IMMEDIATE PAST PRESIDENT 3.00 X X 0 0 0 DR THOMAS PETERSEN DIRECTOR 1.00 X 0 0 0 DR JACK SADOWSKI DIRECTOR 1.00 X 0 0 0 DR CHARLES LENARDUZZI DIRECTOR 1.00 X 0 0 0 DR CONRAD NENN DIRECTOR 1.00 X 0 0 0 DR JOSEPH BEST DIRECTOR 1.00 X 0 0 0 DR PAUL OBERBRECKLING DIRECTOR 1.00 X 0 0 0 DR RUBA KHADER DIRECTOR 1.00 X 0 0 0 MR BLAINE ATWATER DIRECTOR AT-LARGE 1.00 X 0 0 0 MS JEANNE RUDE DIRECTOR AT-LARGE 1.00 X 0 0 0 MR TOM WITKOWSKI DIRECTOR AT-LARGE 1.00 X 0 0 0 DR RON STIFTER EMERITUS MEMBER 1.00 X 0 0 0 DR TOM NOCKERTS DIRECTOR 1.00 X 0 0 0 DR HENRY WENGELEWSKI JR DIRECTOR 1.00 X 0 0 0 DR TIM DURTSCHE DIRECTOR 1.00 X 0 0 0 DR ROBB WARREN DIRECTOR 1.00 X 0 0 0 VICTORIA BOHMAN EXECUTIVE DIRECTOR 32.00 X 48041 0 3325 48041 0 3325 0 0 0 0 0 20170 209403 229573 110378 110378 11895 20170 18048 -6153 -6153 333798 0 0 104225 37867 37867 16500 16500 50234 50234 59771 59771 4115 4115 1289 88 1201 8176 3760 4416 9250 9250 1239 1239 500 500 23233 18555 2210 2468 7850 1896 5954 1093 1067 8 18 793 171 622 136 136 34463 16855 17608 REGISTRATION 639 225 414 VOLUNTEER RECOGNITION 395 350 45 BANK SERVICE FEES 108 108 257651 162567 92598 2486 18385 52443 293973 230026 24886 34226 43965 30034 1598 4194 15866 11123 0 4743 2645743 3114246 68 68 3028618 3469980 12333 13103 12333 13103 X 2681509 3104412 334776 352465 3016285 3456877 3028618 3469980 76147 364445 0 X 0 1 X 1 0 X 300473 298203 274364 282882 229573 1385495 300473 298203 274364 282882 229573 1385495 245597 1139898 107171 92110 127432 147559 110378 584650 1970145 128827 0.57860 0.59040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15866 11123 4743 4743 728291 364445 12000 18048 394493 333798 0 333798 287699 12000 18048 30048 257651 0 257651 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 18,048. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 18,048. GOLF OUTING 32065 20170 11895 26 18022 32065 20170 11895 26 18022 18048 -6153 1 EDUCATIONAL SCHOLARSHIPS FOR DENTAL AND DENTAL HYGIENE STUDENTS 11 16500 PART I, LINE 2: RECIPIENTS FORWARD COPIES OF PAID RECEIPTS INCURRED FOR EXPENSES ASSOCIATED WITH THE GRANT TO BE RECEIVED. GRANT PAYMENTS MADE AFTER REVIEW OF THESE DOCUMENTS. SCHOLARSHIP FUNDS ARE RELEASED TO THE COLLEGE/UNIVERSITY FOR APPLICATION TO THE STUDENTS' TUITION ACCOUNT FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE 990 IS REVIEWED IN PERSON WITH THE ENTIRE BOARD OF DIRECTORS BEFORE IT IS FILED. THE ORGANIZATION'S CPA, WALKS THE BOARD THROUGH IT AT THE MAY BOARD MEETING EACH YEAR. IT IS ALSO EMAILED OUT TO THE BOARD PRIOR TO THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE ASKED AT EACH MEETING IF THEY HAVE A CONFLICT WITH ANY ISSUE ON THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15A MARK PAGET, SECRETARY, AND ABBY VAN KERKVOORDE, DIRECTOR OF FINANCE, DETERMINE THE SALARY OF THE EXECUTIVE DIRECTOR. THIS SALARY IS LATER APPROVED BY THE ENTIRE BOARD IN CONJUNCTION WITH THE APPROVAL OF THE BUDGET. COMPARABLE WAGE DATA IS OBTAINED FROM AN INDEPENDENT FIRM SPECIALIZING IN HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST.