2019-04-30T13:39:22-05:00 2018-06-30 Thomas Howell Ferguson PA 2615 Centennial Blvd Suite 200 Tallahassee FL 32308 990 2017-07-01 592019148 FLORIDA DENTAL ASSOCIATION FOUNDATION INC % GREGORY GRUBER FLOR 8506813629 545 JOHN KNOX ROAD Suite 200 TALLAHASSEE FL 32303 GREGORY GRUBER CFO 2019-02-27 true stacey t kolka P01371120 8506688100 216.173.162.178 59163320191205000000 2019-04-30 P 84FE024F0489F7A41C4B8231C4334A262B949468 A74718BAEE4B10808F91F8EE7EC849007AE55591 2017 2019-02-21 02:37:17Z Andrew Eason 545 JOHN KNOX ROAD200 TALLAHASSEE FL 32303 872152 false X WWW.FLORIDADENTAL.ORG/FOUNDATION X 1980 FL The florida dental association foundation is the charitable arm of the florida dental association, promoting dental health for all Floridians. 19 19 4 2467 0 0 791370 772578 0 0 71607 98425 -6508 -5313 856469 865690 96743 212444 0 0 126392 170808 0 0 86711 409272 302399 632407 685651 224062 180039 2773847 3061973 32549 45268 2741298 3016705 X THE FLORIDA DENTAL ASSOCIATION FOUNDATION IS THE CHARITABLE ARM OF THE FLORIDA DENTAL ASSOCIATION, PROMOTING DENTAL HEALTH FOR ALL FLORIDIANS. false false 318743 394083 The Florida Mission of Mercy (FLA-MOM) is a two day clinic which provides dental care at no cost to the underserved and uninsured in Florida. The Florida Mission of Mercy is a first-come, first-serve event with a goal of treating 2,000 patients in two days. 100000 100000 Grants available to all Florida Dentists for personal needs in the event of a disaster. Disaster Assistance also provided to dentists in Puerto Rico. 61829 Dental Health / Education programs: Dental Health and Education PROGRAMS INCLUDING CONTRIBUTIONS, HUMANITARIAN AWARD TO HELP IN DENTAL HEALTH PROJECTS AND DENTAL CARE FOR INDIGENT OR UNDERSERVED CHILDREN AND ADULTS. The DDS programs help individuals with disabilities or the elderly or medically fragile and cannot afford or otherwise access treatment for severe dental conditions. Qualified patient files are reviewed by volunteer dentists who accept or decline a patient prior to treatment. Patients are then treated in the office of the volunteer and the DDS coordinator arranges for specialist or lab services. 58095 538667 true true false false false false false false false true false true false false true true true true false false false false false false false false false true true true false false false false false false false false true false false false false true false false false true 66 0 0 false false false false false false false false false false X 19 19 true false false false false false false true true false false true true true true true true true false false X GREGORY GRUBER 8503507111 545 JOHN KNOX ROAD SUITE 200 TALLAHASSEE FL 32303 LEWIS WALKER DIRECTOR 3.0 0.0 X 0 0 0 TERRY BUCKENHEIMER DIRECTOR 3.0 0.0 X 0 0 0 NOLAN ALLEN DIRECTOR 3.0 0.0 X 0 0 0 RALPH ATTANASI Director 3.0 0.0 X 0 0 0 NATALIE BUSTILLO Vice President 3.0 0.0 X X 0 0 0 RICK STEVENSON DIRECTOR 3.0 0.0 X 0 0 0 BRUCE GORDY DIRECTOR 3.0 0.0 X 0 0 0 KAREN BUCKENHEIMER DIRECTOR 3.0 0.0 X 0 0 0 DAVID RUSSELL Immediate Past President 3.0 0.0 X X 0 0 0 ROBERT PAYNE PRESIDENT 3.0 0.0 X X 0 0 0 BILL D'AIUTO SECRETARY 3.0 10.0 X X 0 0 0 IDALIA LASTRA TREASURER 3.0 0.0 X X 0 0 0 ROBERT FERRIS DIRECTOR 3.0 0.0 X 0 0 0 JAMES WALTON III Director 3.0 0.0 X 0 0 0 LEO CULLINAN Director 3.0 0.0 X 0 0 0 LINDA NIESSEN Director 3.0 0.0 X 0 0 0 Isabel Garcia Director 3.0 0.0 X 0 0 0 Gerald Bird director 3.0 0.0 X 0 0 0 bruce tandy director 3.0 0.0 X 0 0 0 ANDREW EASON CEO 2.0 50.0 X 0 295079 35917 GREGORY GRUBER CFO 15.0 50.0 X 0 155832 16519 R Jai Gillum Director of Foundation Affairs 40.0 0.0 X 0 68849 5225 Jack Moore Director of Accounting 5.0 35.0 X 0 127635 25175 0 647395 82836 0 false true false 0 293547 479031 81931 772578 0 95844 95844 0 0 0 0 0 2581 2581 1149 6462 -5313 -5313 0 0 0 0 0 0 0 865690 93112 91245 91245 121199 121199 0 0 98237 26475 13527 58235 0 72571 50964 13272 8335 0 0 0 0 0 9862 9862 0 0 0 5000 5000 13440 13440 23218 16517 6701 0 0 0 3288 3288 0 3367 3367 0 0 0 0 MISSION OF MERCY 243784 243784 FEES& LICENSES 440 440 685651 538667 60273 86711 0 0 656697 266747 0 0 17230 5756 0 0 0 0 0 0 0 0 4666 11386 0 0 0 0 2020695 2696080 0 0 0 0 74559 82004 2773847 3061973 22629 38689 0 0 7000 3104 0 0 0 0 0 0 0 0 0 0 2920 3475 32549 45268 X 1939802 1995463 688810 908556 112686 112686 2741298 3016705 2773847 3061973 X 180039 95368 187187 -187187 X X false true X true false X 273172 131832 853361 791370 772578 2822313 0 0 0 0 273172 131832 853361 791370 772578 2822313 32520 28263 204450 206262 172447 643942 0 32520 28263 204450 206262 172447 643942 2178371 116365 179124 21560 71607 98425 487081 0 116365 179124 21560 71607 98425 487081 0 0 389537 310956 874921 862977 871003 3309394 0.65824 0.64617 0.14718 0.17915 X 112686 10064 10064 112686 112686 112686 112686 3293 -3293 112686 112686 112686 126992 -14306 112686 1.00000 false false false MUTUAL FUNDS 2696080 F 2696080 0 INTERCOMPANY PAYABLES 3475 3475 X 1154707 95368 187187 282555 872152 -6462 -6462 865690 879300 187187 6462 193649 685651 685651 PART X, LINE 2 WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY MAJOR TAX JURISDICTIONS FOR YEARS ENDED JUNE 30, 2014 AND PRIOR. PART XI: Reconciliation of Revenue Line 2B IN-KIND REVENUE: $ 187,187 For tax return purposes, In-kind revenues are not recognized. For audited financial statement purposes, these items are included in total revenue. Line 4B Fundraising expense: -$6,462 For Tax return purposes, expenses related to fundraising are recorded on the statement of revenues, part VIII. For audited financial statement purposes these items are included in total expenses. PART XII: Reconciliation of Expenses LINE 2A IN-KIND EXPENSES: $187,187 For tax return purposes, In-kind expenses are not recognized. For audited financial statement purposes, these items are included in total expenses. LINE 2D Fundraising Expenses: $6,462 For Tax return purposes, expenses related to fundraising are recorded on the statement of revenues, part VIII. For audited financial statement purposes these items are included in total expenses. Part V, Line 4 All endowment funds are classified as permanently restricted net assets in accordance with donor stipulations. The Foundation does not have a formally adopted endowment spending policy. The Foundations endowment investment policies limit its investments to certain types of investments and limits amounts invested in any one financial institution. The overall objectives of the investment policy are production of sufficient income to meet the goals of the account and to provide for growth of assets to meet future objectives. true Dental Lifeline Network 1800 15th St ste 100 Denver CO 80202 841533654 501(c)(3) 35309 Financial Support Project Dentists Care of Southwest Florida PO Box 60424 Ft Myers FL 33906 650822909 501(c)(3) 7000 dental care Puerto Rico Dental Association 200 manuel domenech san juan PR 00918 660240779 501(c)(3) 10000 disaster relief I M Sluzbacher Center for the Homeless 611 e adams st jacksonville FL 32202 593229898 501(c)(3) 25000 Health Promotion 4 Hurricane victims 60 90000 disaster Scholarships 7 1245 education Part I, Line 2: GRANT RECIPIENTS COMPOSE AND SUBMIT A REPORT MIDWAY THROUGH THE TIME THE FUNDS WERE PROPOSED TO BE USED. AN AVERAGE OF ONE YEAR IS THE TIME SPAN FOR EACH GRANT AND AT THE END OF THEIR INTENDED TIME; EACH ORGANIZATION MUST SUBMIT A DETAILED REPORT OF HOW THE AWARDED GRANT WAS USED. IF THE ORGANIZATION FAILS TO SUBMIT THEIR FINAL REPORT, THEY WILL NOT BE CONSIDERED FOR THE NEXT GRANT CYCLE. EACH RECIPIENT MUST CONTINUE TO SUBMIT THEIR QUARTERLY REPORTS FOR THE YEAR. false false false false false false false false false ANDREW EASON CEO 285079 10000 27527 8390 330996 GREGORY GRUBER CFO 145082 10750 15583 936 172351 Jack Moore Director of Accounting 122035 5600 12764 12411 152810 Part I, Line 3 Compensation packages for the CEO and Executive Director are based on policies and procedures established by the Florida Dental Association, a related organization. See explanation on Schedule O, Line 15 for more information. X 1684 cost X Other Supplies 0 20162 Cost X DENTAL SUPPLIES 0 60085 COST false false false Part III: Program Service Accomplishments Line 4d - Other Program Services Included in other programs services is the project dentists care program. This program provides grants to other non-profit organizations who provide dental, health and education programs in Florida. ($50,000) Part V: Statements Regarding Other IRS Filings and Tax Compliance LINE 2A PER IRC SECTION 3121, IF TWO OR MORE RELATED CORPORATIONS CONCURRENTLY EMPLOY THE SAME INDIVIDUAL AND COMPENSATE SUCH INDIVIDUAL THROUGH A COMMON PAYMASTER EACH CORPORATION SHALL BE CONSIDERED TO HAVE PAID AS REMUNERATION TO SUCH INDIVIDUAL ONLY THE AMOUNTS ACTUALLY DISBURSED. Part VI: Governance, Management, and Disclosure SECTION A, Line 2 TERRY AND KAREN BUCKHEIMER ARE BOTH BOARD MEMBERS AND MARRIED. SECTION B, LINE 11 Form 990 and accompanying schedules are prepared by an independent accounting firm. the form 990 and accompanying schedules are reviewed by the association's staff for accuracy. The form 990 and accompanying schedules are then sent to the audit committee for review and then sent to the board members. All questions and issues are resolved with the independent accounting firm prior to filing with the internal revenue service center. LINE 12C THE FOUNDATION VIA ITS CONFLICT OF POLICY PROCEDURE CONTINUOUSLY MONITORS ALL VOTING MEMBERS OF THE GOVERNING BODY AND MEMBERS OF ANY COMMITTEE OR WORK GROUP. THERE IS A WRITTEN REMINDER PROVIDED TO ALL MEMBERS OF FOUNDATION AGENCIES EACH YEAR FOR THEIR FIRST MEETING AS A REFERENCE GUIDE. THEN THERE IS A VERBAL REMINDER AT EACH MEETING AND INCLUDED ON THE AGENDA. ALL BOARD MEMBERS SIGN/DATE A WRITTEN STATEMENT THAT LISTS ANY BUSINESS INTERESTS THEY ARE INVOLVED WITH, SUCH AS RELATED BANKS OR ORGANIZATIONS THAT COULD POTENTIALLY BE A CONFLICT OF INTEREST. BOARD MEMBERS MUST ALSO NOTE THAT THEY DO NOT HAVE ANY CONFLICTS AND SIGN AND DATE THE STATEMENT ( EXAMPLES OF BANKS, OTHER BUSINESS ORGANIZATIONS WHO HAVE DEALINGS WITH THE FOUNDATION ARE PROVIDED TO THE BOARD MEMBERS AS EXAMPLES, ETC). LINE 15A THE EXECUTIVE DIRECTOR WAS HIRED UTLITIZING A THIRD-PARTY SEARCH SERVICE AND BEGINNING FYE 6/30/15 MERCES CONSULTING COMPANY COMPARED EMPLOYEES' WAGES TO COMPARABLE JOBS IN COMPARABLE NON-PROFIT ASSOCIATIONS AND THE RESULTING PAY INCREASE OR FREEZE WAS BASED ON THIS THIRD PARTY COMPANY'S INDEPENDENT REVIEW AND REVISED EMPLOYEE EVALUATION FORM TO ACCOMPLISH THIS COMPARISON. SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, THREE MOST CURRENT YEARS OF FINANCIAL STATEMENTS, AND FORMS 990 AVAILABLE TO THE PUBLIC UPON REQUEST. PART XI: RECONCILIATION OF NET ASSETS Line 6 Donated Services and Use of Facilities Revenue: $187,187 LINE 9 IN-KIND EXPENSES: -$187,187 FLORIDA DENTAL ASSOCIATION 545 JOHN KNOX ROAD TALLAHASSEE FL 32303 590615479 BUS ASSOC FL 501(c)(6) false FDA SERVICES INC 545 JOHN KNOX ROAD TALLAHASSEE FL 32303 592963601 INS. SALES FL C CORP 0.00000 false false false true false false false false false false false false false true true true true false false false FLORIDA DENTAL ASSOCIATION P 170808 Actual FLORIDA DENTAL ASSOCIATION M 159951 In-Kind FLORIDA DENTAL ASSOCIATION c 143447 Actual FLORIDA DENTAL ASSOCIATION O 170808 ACTUAL FLORIDA DENTAL ASSOCIATION N 27236 In-Kind FDA Services C 22000 Actual