2018-10-25T10:08:39-05:00 2018-06-30 541681507 Sells Hogg & Associates CPAs PC 1079 Spruce Street Suite B Martinsville VA 24112 990 2017-07-01 201468244 Piedmont Virginia Dental Health Foundation PIED 2766329266 407 Starling Avenue Martinsville VA 241123731 Mark A Crabtree DDS President 2766329266 2018-10-17 1 Robert W Hogg CPA P00006336 2766383904 70.33.142.107 2018-10-17 16:06:55 ED P FC9596427B3F4D72B886A1CE0CC2BD1A004A5172 FC9596427B3F4D72B886A1CE0CC2BD1A004A5172 2017 2018-06-14 16:35:46Z Mark A Crabtree DDS 407 Starling Ave Martinsville VA 24112 498597 0 X www.piedmontdental.org X Foundation 2004 VA To operate a dental clinic to provide free and reduced-fee dental services to unemployed and uninsured adults, needy children and Medicaid patients who have been unable to acquire such services 7 7 5 0 26 0 380183 295904 197870 202667 21 26 0 0 578074 498597 0 0 0 0 318459 311509 0 0 0 222055 195777 540514 507286 37560 -8689 183763 173970 1006 -99 182757 174069 X The Foundation's mission is to operate a dental clinic to improve the oral health of the community's disadvantaged citizens through oral health education and dental and dental hygiene services. The clinic's patient care goal is to provide the maximum amount of access to dental care for our uninsured, unemployed and low-income population. Its externship goal is to provide VCU dental students (externs) with a real-life, general dentistry, private practice experience in a state of the art dental facility. 0 0 484159 202667 The Foundation operates a dental clinic staffed by a dentist and students from the Virginia Commonwealth University School of Dentistry. The dental students are supervised by the dentist and volunteer local area practicing dentists. Free or reduced-fee dental services were provided to needy individuals. 484159 1 1 0 0 0 0 0 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 0 0 0 0 1 4 0 5 1 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X Mark A Crabtree DDS 2766329266 407 Starling Avenue Martinsville VA 24112 Mark A Crabtree DDS President/Director 7.00 X X 0 0 0 Edward P Snyder DDS Vice-Pres/Director 1.00 X X 0 0 0 Ann C Huffman Sec/Treas/Director 10.00 X X 18855 0 0 M Gene Teague Director 1.00 X 0 0 0 Paul R Eason MD Director 1.00 X 0 0 0 Rev Ron Mateer Director 1.00 X 0 0 0 Lisa Fultz Director 1.00 X 0 0 0 18855 0 0 0 0 0 0 0 295904 295904 Dental services fees 621300 202667 202667 202667 26 26 498597 202667 26 0 18855 18855 229457 229457 4854 4854 39565 39565 18778 18778 950 950 75 75 4786 4307 479 21950 19755 2195 31725 31725 1056 1056 15241 15241 3638 3638 Dental supplies 73125 73125 Development expenses 25757 25757 Repairs & maintenance 5640 5640 Meals for VCU interns 4364 4364 7470 5872 1598 507286 484159 23127 0 30185 52712 60165 50496 16915 15505 6000 0 233880 178623 70498 55257 183763 173970 1006 -99 1006 -99 X 182757 174069 182757 174069 183763 173970 X -8689 1 X 0 0 0 X 274740 294255 291176 380183 295904 1536258 211685 169294 186096 197870 202667 967612 486425 463549 477272 578053 498571 2503870 190000 185175 221330 193810 183426 973741 0 190000 185175 221330 193810 183426 973741 1530129 97 122 46 21 26 312 97 122 46 21 26 312 486522 463671 477318 578074 498597 2504182 0.61100 0.60220 0.00010 0.00020 X 131355 99869 31486 102525 78754 23771 55257 Form 990, Part VI, Section A, line 2 Ann C. Huffman is Mark A. Crabtree's sister. Ann C. Huffman is also an employee of Martinsville Smiles, PLLC, where Mark A. Crabtree is a shareholder. Form 990, Part VI, Section B, line 11b The Foundation provides a copy of return for review at board of directors meeting before filing. Form 990, Part VI, Section C, line 19 The Foundation makes its governing documents, conflict of interest policy, and financial statments available to the public upon request, either for viewing in the Foundation's office or providing copies to the requester. Form 990, Part XI, line 9: Rounding 1.