2017-11-13T09:11:53-06:00 2017-06-30 541681507 Sells Hogg & Associates CPAs PC 1079 Spruce Street Suite B Martinsville VA 24112 990 2016-07-01 201468244 Piedmont Virginia Dental Health Foundation PIED 2766329266 407 Starling Avenue Martinsville VA 241123731 Mark A Crabtree DDS President 2766329266 2017-11-02 1 Robert W Hogg CPA P00006336 2766383904 70.33.142.107 2017-11-02 13:07:17 ED P AB973AF5F67ECBE8171843A5A9B7C0EE37EE515C A205B9BCA6398650DED284C3643AF358FBA9D5B0 2016 2017-02-10 21:41:12Z Mark A Crabtree DDS 407 Starling Ave Martinsville VA 24112 578074 0 X N/A 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 6 0 0 0 0 291176 380183 186096 197870 46 21 0 0 477318 578074 0 0 0 0 293929 318459 0 0 19760 227969 222055 521898 540514 -44580 37560 156621 183763 11423 1006 145198 182757 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 498907 197870 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. 498907 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 3 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 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 4.00 X X 18640 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 18640 0 0 0 0 0 0 0 380183 380183 Dental fees - Medicaid 812900 115298 115298 Dental fees - patients 812900 82572 82572 197870 21 21 578074 197870 0 21 18640 18640 233926 233926 4951 4951 40835 40835 20107 20107 950 950 390 390 7121 6409 712 8774 7897 877 33005 33005 3795 3795 14986 14986 4221 4221 Dental supplies 65965 65965 Development expenses 47908 28148 19760 Rent 12000 10800 1200 Repairs and maintenance 6745 6745 16195 15777 418 540514 498907 21847 19760 38107 30185 10151 60165 25587 16915 1279 6000 233880 163382 81497 70498 156621 183763 11423 1006 11423 1006 X 145198 182757 145198 182757 156621 183763 X 37560 -1 X 0 0 0 X 194343 274740 294255 291176 380183 1434697 221196 211685 169294 186096 197870 986141 415539 486425 463549 477272 578053 2420838 172413 190000 185175 221330 193810 962728 0 172413 190000 185175 221330 193810 962728 1458110 129 97 122 46 21 415 129 97 122 46 21 415 415668 486522 463671 477318 578074 2421253 0.60220 0.60220 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 131355 91112 40243 102525 72270 30255 70498 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.