PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION: Form 990, tax year 2016
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- Organization
- PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION (EIN 20-1468244)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2017-11-13
- IRS object ID
- 201733179349301523
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-13T09:11:53-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541681507 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sells Hogg & Associates CPAs PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1079 Spruce Street Suite B | AddressLine1Txt |
| City | Martinsville | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201468244 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Piedmont Virginia Dental | BusinessNameLine1Txt |
| Business Name Line2 | Health Foundation | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PIED | BusinessNameControlTxt |
| Phone | 2766329266 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 Starling Avenue | AddressLine1Txt |
| City | Martinsville | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 241123731 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark A Crabtree DDS | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 2766329266 | PhoneNum |
| Signature | 2017-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Robert W Hogg CPA | PreparerPersonNm |
| PTIN | P00006336 | PTIN |
| Phone | 2766383904 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.33.142.107 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-02 | IPDt |
| IP Tm | 13:07:17 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AB973AF5F67ECBE8171843A5A9B7C0EE37EE515C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A205B9BCA6398650DED284C3643AF358FBA9D5B0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark A Crabtree DDS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 Starling Ave | AddressLine1Txt |
| City | Martinsville | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $578,074 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | Foundation | OtherOrganizationDsc |
| Formation | 2004 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | 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 | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $291,176 | PYContributionsGrantsAmt |
| CY Contributions Grants | $380,183 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $186,096 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $197,870 | CYProgramServiceRevenueAmt |
| PY Investment Income | $46 | PYInvestmentIncomeAmt |
| CY Investment Income | $21 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $477,318 | PYTotalRevenueAmt |
| CY Total Revenue | $578,074 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $293,929 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $318,459 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $19,760 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $227,969 | PYOtherExpensesAmt |
| CY Other Expenses | $222,055 | CYOtherExpensesAmt |
| PY Total Expenses | $521,898 | PYTotalExpensesAmt |
| CY Total Expenses | $540,514 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$44,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $37,560 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $156,621 | TotalAssetsBOYAmt |
| Total Assets EOY | $183,763 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,423 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,006 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $145,198 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $182,757 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $498,907 | ExpenseAmt |
| Revenue | $197,870 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $498,907 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark A Crabtree DDS | PersonNm |
| Phone | 2766329266 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 407 Starling Avenue | AddressLine1Txt |
| City | Martinsville | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Mark A Crabtree DDS | ||||||
| President/Director | 7.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Edward P Snyder DDS | ||||||
| Vice-Pres/Director | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Ann C Huffman | ||||||
| Sec/Treas/Director | 4.00 | Yes (X) | Yes (X) | $18,640 | $0 | $0 |
| M Gene Teague | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Paul R Eason MD | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Rev Ron Mateer | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Lisa Fultz | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $18,640 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $380,183 | AllOtherContributionsAmt |
| Total Contributions | $380,183 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Dental fees - Medicaid | 812900 | $115,298 | $115,298 |
| Dental fees - patients | 812900 | $82,572 | $82,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $197,870 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21 | TotalRevenueColumnAmt |
| Exclusion | $21 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $578,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,870 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,640 | TotalAmt |
| Management And General | $18,640 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,926 | TotalAmt |
| Program Services | $233,926 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,951 | TotalAmt |
| Program Services | $4,951 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,835 | TotalAmt |
| Program Services | $40,835 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,107 | TotalAmt |
| Program Services | $20,107 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950 | TotalAmt |
| Program Services | $950 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390 | TotalAmt |
| Program Services | $390 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,121 | TotalAmt |
| Program Services | $6,409 | ProgramServicesAmt |
| Management And General | $712 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,774 | TotalAmt |
| Program Services | $7,897 | ProgramServicesAmt |
| Management And General | $877 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,005 | TotalAmt |
| Program Services | $33,005 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,795 | TotalAmt |
| Program Services | $3,795 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,986 | TotalAmt |
| Program Services | $14,986 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,221 | TotalAmt |
| Program Services | $4,221 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| Dental supplies | $65,965 | $65,965 | ||
| Development expenses | $47,908 | $28,148 | $19,760 | |
| Rent | $12,000 | $10,800 | $1,200 | |
| Repairs and maintenance | $6,745 | $6,745 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,195 | TotalAmt |
| Program Services | $15,777 | ProgramServicesAmt |
| Management And General | $418 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,514 | TotalAmt |
| Program Services | $498,907 | ProgramServicesAmt |
| Management And General | $21,847 | ManagementAndGeneralAmt |
| Fundraising | $19,760 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,107 | BOYAmt |
| EOY | $30,185 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,151 | BOYAmt |
| EOY | $60,165 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,587 | BOYAmt |
| EOY | $16,915 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,279 | BOYAmt |
| EOY | $6,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $233,880 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $163,382 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,497 | BOYAmt |
| EOY | $70,498 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,621 | BOYAmt |
| EOY | $183,763 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,423 | BOYAmt |
| EOY | $1,006 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,423 | BOYAmt |
| EOY | $1,006 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,198 | BOYAmt |
| EOY | $182,757 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,198 | BOYAmt |
| EOY | $182,757 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,621 | BOYAmt |
| EOY | $183,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $37,560 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $194,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $274,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $294,255 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $291,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $380,183 | CurrentTaxYearAmt |
| Total | $1,434,697 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $221,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $211,685 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $169,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $186,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197,870 | CurrentTaxYearAmt |
| Total | $986,141 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $415,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $486,425 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $463,549 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $477,272 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,053 | CurrentTaxYearAmt |
| Total | $2,420,838 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $172,413 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $190,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $185,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $221,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,810 | CurrentTaxYearAmt |
| Total | $962,728 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $172,413 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $190,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $185,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $221,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,810 | CurrentTaxYearAmt |
| Total | $962,728 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,458,110 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $415 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $415 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $415,668 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $486,522 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $463,671 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $477,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,074 | CurrentTaxYearAmt |
| Total | $2,421,253 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.60220 | PublicSupportCY509Pct |
| Public Support PY509 | 0.60220 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,112 | DepreciationAmt |
| Book Value | $40,243 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,525 | OtherCostOrOtherBasisAmt |
| Depreciation | $72,270 | DepreciationAmt |
| Book Value | $30,255 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $70,498 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |