2020-07-15T11:23:02-05:00 2019-06-30 320530003 QUIGLEY & MIRON 3550 WILSHIRE BLVD 1660 LOS ANGELES CA 90010 990 2018-07-01 770495262 ON-SITE DENTAL CARE FOUNDATION INC ON-S 4083154864 PO BOX 4111 SAN JOSE CA 95160 CHERYL WALTER BOARD MEMBER & EXECUTIVE DIRECTOR 6509926694 2020-07-15 1 ARMEN GRIGORIAN P01582463 2136393550 99.88.83.161 2020-07-15 09:12:36 PD P C1988052032BF7E796496D37049D37B62C620639 D3260DE76A00735DE54FD7A2F23989D34E43A83E 2018 2020-09-23 17:36:50Z ONSITE DENTAL FOUNDATION INC CHERYL WALTER PO BOX 4111 SAN JOSE CA 95160 973062 0 X WWW.OSDCF.ORG X 1998 CA TO PROVIDE MOBILE DENTAL SERVICES AND EXAMS TO UNDERSERVED COMMUNITIES AND INDIVIDUALS, WHO WOULD OTHERWISE NOT RECEIVE THIS CARE. 7 6 28 6 0 0 702836 959143 9603 13885 34 34 0 0 712473 973062 0 0 0 0 25000 222251 0 0 0 743620 755823 768620 978074 -56147 -5012 180416 150549 263633 240077 -83217 -89528 TO PROVIDE MOBILE DENTAL SERVICES AND EXAMS TO UNDERSERVED COMMUNITIES AND INDIVIDUALS, WHO WOULD OTHERWISE NOT RECEIVE THIS CARE. 0 0 940551 13885 ONSITE DENTAL FOUNDATION, INC., (ORGANIZATION) WAS INCORPORATED IN 1998 AS A CALIFORNIA NONPROFIT CORPORATION DEDICATED TO PROVIDING MOBILE DENTAL SERVICES TO UNDERSERVED AND AT-RISK COMMUNITIES INCLUDING THE HOMELESS, MIGRANT WORKERS, AND PERSONS INFECTED WITH HIV/AIDS. THE ORGANIZATION'S PRIMARY SERVICE AREA INCLUDES THE CALIFORNIA COUNTIES OF ALAMEDA AND SANTA CLARA. THROUGHOUT THE YEAR, THE ORGANIZATION PROVIDED SERVICES TO APPROXIMATELY 813 UNDUPLICATED PATIENTS DURING 144 SERVICE DAYS. THE OBJECTIVE OF THESE SERVICES WAS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO DENTAL SERVICES AND HEALTHCARE EXAMS TO INDIVIDUALS WHO OTHERWISE WOULD NOT HAVE RECEIVED CARE. 940551 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 27 0 28 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X FASS CO LINDA GARABINO 4085138732 3315 ALMADEN EXPRESSWAY SUITE 10 SAN JOSE CA 95118 KATHY WELLS SECRETARY 1.00 X 0 0 0 KEVIN HUTCHCROFT BOARD CHAIR 1.00 X X 0 0 0 CHERYL WALTER BOARD MEMBER & PROGRAM DIR 40.00 X 23427 0 0 BARBARA CAMARENA BOARD MEMBER 0.50 X 0 0 0 IFTIKHAR AHMED BOARD MEMBER 0.25 X 0 0 0 STEVE MILLER BOARD MEMBER 0.25 X 0 0 0 MARTI REMMELL BOARD MEMBER 0.25 X 0 0 0 23427 0 0 0 0 0 0 0 823973 135170 38798 959143 DENTAL SERVICES 621300 13885 13885 13885 34 34 973062 13885 0 34 X 36994 35144 1850 164983 164983 1800 1796 4 18474 18417 57 15600 1690 13910 386148 384886 1262 1751 972 779 5321 5060 261 207 207 31886 31312 574 1472 1375 97 13040 683 12357 EQUIPMENT 178830 172458 6372 DENTAL SUPPLIES 107421 107421 VAN FUEL 14147 14147 978074 940551 37523 0 14088 164160 149781 2168 768 180416 150549 263633 240077 263633 240077 X -83217 -89528 -83217 -89528 180416 150549 X -5012 -1299 X 0 1 X 0 1 1 X 650336 663823 722146 702836 959143 3698284 650336 663823 722146 702836 959143 3698284 3698284 36 34 34 104 3599 3599 3701987 49549 0.99900 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 973062 0 973062 0 973062 978074 0 978074 0 978074 PART X, LINE 2: ACCOUNTING STANDARDS REQUIRE AN ORGANIZATION TO EVALUATE ITS TAX POSITIONS AND PROVIDE FOR A LIABILITY FOR ANY POSITIONS THAT WOULD NOT BE CONSIDERED 'MORE LIKELY THAN NOT' TO BE UPHELD UNDER A TAX AUTHORITY EXAMINATION. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT A PROVISION FOR A TAX LIABILITY IS NOT NECESSARY AT JUNE 30, 2019. GENERALLY, THE ORGANIZATION'S INFORMATION RETURNS REMAIN OPEN FOR EXAMINATION FOR A PERIOD OF THREE (FEDERAL) OR FOUR (STATE OF CALIFORNIA) YEARS FROM THE DATE OF FILING. X 376 38798 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ONCE THE FORM 990 IS PREPARED BY THE ORGANIZATION'S CPA FIRM, IT IS THEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS A) RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B) HAS READ AND UNDERSTANDS THE POLICY, C) HAS AGREED TO COMPLY WITH THE POLICY, AND D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES EACH VOTING MEMBER OF THE BOARD SHALL ANNUALLY SIGN A STATEMENT WHICH DECLARES WHETHER SUCH PERSON IS AN INDEPENDENT DIRECTOR IF AT ANY TIME DURING THE YEAR, THE INFORMATION IN THE ANNUAL STATEMENT CHANGES MATERIALLY, THE DIRECTOR SHALL DISCLOSE SUCH CHANGES AND REVISE THE ANNUAL DISCLOSURE FORM. THE EXECUTIVE COMMITTEE SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY BY REVIEWING ANNUAL STATEMENTS AND TAKING SUCH OTHER ACTIONS AS ARE NECESSARY FOR EFFECTIVE OVERSIGHT TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIOD REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION (IF REASONABLY AVAILABLE), AND THE RESULT OF ARMS LENGTH BARGAINING, B) WHETHER PARTNERSHIPS, JOINT VENTURES, AND ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS, IF ANY, CONFIRM TO THE ORGANIZATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AND STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 INFORMATIONAL RETURNS ARE POSTED ON GUIDESTAR.COM AS WELL. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 162,879. MANAGEMENT AND GENERAL EXPENSES 1,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,141. CONTRACTED DENTISTS: PROGRAM SERVICE EXPENSES 222,007. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,007. FORM 990, PART XI, LINE 9: PRIOR PERIOD AUDIT ADJUSTMENTS -1,299.