2025-09-05T15:11:18-05:00 2024-06-30 320530003 QUIGLEY & MIRON 3580 WILSHIRE BLVD 1755 LOS ANGELES CA 90010 990 2023-07-01 770495262 ON-SITE DENTAL CARE FOUNDATION INC ON-S 4083154864 PO BOX 41111 SAN JOSE CA 95160 CHERYL WALTER BOARD MEMBER & EXECUTIVE DIRECTOR 6509926694 2025-09-05 1 0 ARMEN GRIGORIAN P01582463 2136393550 2023 2025-03-06 01:10:19Z ONSITE DENTAL FOUNDATION INC CHERYL WALTER PO BOX 41111 SAN JOSE CA 95160 1383415 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. 4 3 22 3 0 0 1261017 1289901 86952 93485 55 29 16 0 1348040 1383415 0 0 0 0 379735 384303 0 0 4638 955292 946737 1335027 1331040 13013 52375 545907 501930 538164 441812 7743 60118 TO PROVIDE COMPREHENSIVE DENTAL SERVICES AND EDUCATION TO UNDERSERVED POPULATIONS VIA A MOBILE DENTAL CLINIC THAT IS LOCATED IN AREAS IDENTIFIED AS HAVING HEALTH DISPARITIES. 0 0 1226045 93485 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, LOW INCOME FAMILIES, LGBTQ+, 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 1,475 UNDUPLICATED PATIENTS DURING 275 SERVICE DAYS. THE OBJECTIVE OF THESE SERVICES WAS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO DENTAL SERVICES TO INDIVIDUALS WHO OTHERWISE WOULD NOT HAVE RECEIVED CARE. 1226045 1 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 22 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JASON LIU 5103005240 1160 CORVALLIS COURT SAN JOSE CA 95120 KATHY WELLS SECRETARY 1.00 X 0 0 0 MARTI REMMELL BOARD CHAIR 1.00 X X 0 0 0 CHERYL WALTER BOARD MEMBER & PROGRAM DIR 40.00 X 70000 0 0 IFTIKHAR AHMED TREASURER/FINANCE AND AUDI 1.00 X 0 0 0 70000 0 0 0 0 0 0 0 994901 295000 1289901 PATIENT FEES 621300 93485 93485 93485 29 29 1383415 93485 0 29 X 70000 68600 700 700 277276 265395 8439 3442 8098 7567 488 43 28929 28158 417 354 26444 2475 23969 504184 498247 5937 1667 1667 3674 2748 827 99 235 235 14138 9915 4223 18706 18706 27667 27667 21655 17789 3866 DENTAL SUPPLIES 118321 118321 LAB SERVICES 80133 80133 VAN FUEL 38499 38499 MISCELLANEOUS EXPENSES 32501 32501 58913 39923 18990 1331040 1226045 100357 4638 175020 152986 19276 25000 363000 39056 351611 323944 545907 501930 230765 234579 307399 207233 538164 441812 X -30131 -8534 37874 68652 7743 60118 545907 501930 52375 0 X 0 0 0 X 1032320 1282545 1280348 1261017 1289901 6146131 1032320 1282545 1280348 1261017 1289901 6146131 90960 6055171 72 44 39 55 29 239 201 4280 117 16 4614 6150984 342905 0.98440 0.97950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 363000 39056 323944 323944 CASH OVERDRAFT 21758 EIDL LOAN 2063 VEHICLE LOAN PAYABLE 183412 207233 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 HR SUPPORT: PROGRAM SERVICE EXPENSES 2,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,143. CONSULTANTS: PROGRAM SERVICE EXPENSES 123,779. MANAGEMENT AND GENERAL EXPENSES 965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,744. CONTRACTED DENTISTS: PROGRAM SERVICE EXPENSES 364,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 364,900. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 7,425. MANAGEMENT AND GENERAL EXPENSES 4,972. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,397.