2017-03-09T10:15:40-06:00 2016-06-30 Thomas Howell Ferguson PA 2615 Centennial Blvd Suite 200 Tallahassee FL 32308 990 2015-07-01 592019148 FLORIDA DENTAL ASSOCIATION FOUNDATION INC % GREGORY GRUBER FLOR 8506813629 1111 E TENNESSEE ST TALLAHASSEE FL 323086914 GREGORY GRUBER CFO 2017-02-15 true Stacey T Kolka P01371120 8506688100 2015 2021-01-29 14:40:06Z Andrew Eason 1111 E TENNESSEE ST TALLAHASSEE FL 323086914 3610424 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. 20 20 3 2467 0 0 136348 853361 0 0 179124 21560 0 -6909 315472 868012 118650 48998 0 0 129548 159543 0 0 83629 130472 471910 378670 680451 -63198 187561 2319098 2421080 34690 18439 2284408 2402641 X The florida dental association foundation is the charitable arm of the florida dental association, promoting dental health for all Floridians. false false 409673 The Florida Mission of Mercy (FLA-MOM) is a two day clinic which provides free dental care 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. 35000 35000 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 treatement 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. 13998 13998 DENTAL/ALLIED EDUCATION SCHOLARSHIPS: SCHOLARSHIPS PROVIDED FOR DENTAL STUDENTS AND ALLIED DENTAL PROFESSIONS, ESPECIALLY ONE IN WHICH THERE IS A SHORTAGE OF HYGIENISTS, ASSISTANTS, OR DENTAL LAB TECHNICIANS. 71002 529673 true true false false false false false false false true false true false false true true true true false false false false false false true false false true true true false false false false false false false false true false false false false true false false false true 1 0 0 false false false false false false false false false false X 20 20 true false false false false false false true true false false true true true true true true false true false X GREGORY GRUBER 8503507111 1111 E TENNESSEE ST TALLAHASSEE FL 323086914 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 KIM JERNIGAN DIRECTOR 3.0 0.0 X 0 0 0 RALPH ATTANASI Director 3.0 10.0 X 0 30755 0 NATALIE BUSTILLO DIRECTOR 3.0 0.0 X 0 0 0 RICK STEVENSON DIRECTOR 3.0 10.0 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 HARRY FUTRELL DIRECTOR 3.0 0.0 X 0 0 0 DAVID RUSSELL PRESIDENT 3.0 0.0 X X 0 0 0 ROBERT PAYNE 1ST VICE PRESIDENT 3.0 0.0 X X 0 0 0 BILL D'AIUTO SECRETARY 3.0 11.0 X X 0 30755 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 IMMEDIATE PAST PRESIDENT 3.0 0.0 X X 0 0 0 LEO CULLINAN Director 3.0 0.0 X 0 0 0 NANCY HAVENS Director 3.0 0.0 X 0 0 0 LINDA NIESSEN Director 3.0 0.0 X 0 0 0 CAROL STEWARD Director 3.0 0.0 X 0 0 0 ANDREW EASON CEO 5.0 51.0 X 0 265758 31202 GREGORY GRUBER CFO 10.0 38.0 X 0 133685 7769 Heather Degan Director of Foundation Affairs 35.0 5.0 X 0 74101 9034 Jack Moore Director of Accounting 5.0 35.0 X 0 127600 22921 0 662654 70926 0 false true false 0 189825 663536 119778 853361 0 110646 110646 0 0 0 0 0 2628497 2717583 -89086 -89086 -89086 17920 24829 -6909 -6909 0 0 0 868012 14651 35000 35000 13998 13998 0 0 95247 42388 16801 36058 0 64296 28614 11342 24340 0 0 0 0 0 10231 10231 0 0 0 0 16200 16200 24362 17331 7031 0 0 0 2607 2607 0 8482 8482 0 0 0 155 155 MISSION OF MERCY 409673 409673 FEES& LICENSES 200 200 680451 529673 67149 83629 0 0 283880 585392 0 0 1327 12425 0 0 0 0 0 0 0 0 926 58063 0 0 0 1959211 1695471 0 0 0 0 73754 69729 2319098 2421080 11777 6427 0 0 19500 0 0 0 0 0 0 0 0 0 0 0 3413 12012 34690 18439 X 1759055 1748074 412667 541881 112686 112686 2284408 2402641 2319098 2421080 X 187561 -69328 X X false true X true false X 319752 329770 273172 131832 853361 1907887 31140 14810 45950 0 0 0 350892 344580 273172 131832 853361 1953837 32980 38030 32520 28263 204450 336243 0 32980 38030 32520 28263 204450 336243 1617594 46698 133886 116365 179124 21560 497633 0 46698 133886 116365 179124 21560 497633 0 2053 2053 399643 478466 389537 310956 874921 2453523 0.65929 0.58780 0.20282 0.27610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 112686 3293 -3293 112686 112686 112686 126992 -14306 112686 126992 126992 129920 -2928 126992 0.00000 1.00000 0.00000 false false false MUTUAL FUNDS 1695471 F 1695471 0 INTERCOMPANY PAYABLES 12012 12012 X 1290645 -69326 150655 316475 397804 892841 -24829 -24829 868012 1172410 150655 341304 491959 680451 680451 PART X, LINE 2 WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY MAJOR TAX JURISDICTIONS FOR YEARS ENDED JUNE 30, 2012 AND PRIOR. PART XI: Reconciliation of Revenue Line 2D IN-KIND REVENUE: $ 316,475 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: -$24,829 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 2d IN-KIND EXPENSES: $316,475 For tax return purposes, In-kind expenses are not recognized. For audited financial statement purposes, these items are included in total expenses. Fundraising Expenses: $24,829 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. Event 1 14545 14545 19524 Event 2 3375 3375 5305 0 17920 17920 24829 24829 -6909 true Dental Lifeline Network 1800 15th St ste 100 Denver CO 80202 841533654 501(c)(3) 35000 Financial Support 1 0 WCDDA SCHOLARSHIP AWARDS 16 2970 Dental Education Scholarship 2 11028 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 0 245758 0 20000 0 0 0 25020 0 6182 0 296960 0 0 Jack Moore Director of Accounting 0 122600 0 5000 0 0 0 12760 0 10161 0 150521 0 0 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 4 9292 FMV X 7 49068 FMV X Technology 1 58846 Cost X Other Supplies 1 320 Cost 0 false false false 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. 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 15B 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: $150,655 Donated Services and Use of Facilities Expense: $150,655 LINE 9 IN-KIND REVENUE: $316,475 IN-KIND EXPENSES: $316,475 FLORIDA DENTAL ASSOCIATION 1111 E TENNESSEE ST TALLAHASSEE FL 32308 590615479 BUS ASSOC FL 501(c)(6) false FDA SERVICES INC 1111 E TENNESSEE ST TALLAHASSEE FL 32308 592963601 INSURANCE SAL FL C CORP false false false true false false false false false false false false false true true true true false false false FLORIDA DENTAL ASSOCIATION P 159544 Actual FLORIDA DENTAL ASSOCIATION M,N,O 316475 In-Kind FLORIDA DENTAL ASSOCIATION c 174825 Actual FDA Services c 15000 Actual