2017-05-26T10:38:09-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2016-01-01 390965289 WISCONSIN DENTAL ASSOCIATION FOUNDATION INC WISC 4142764520 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 MARK PAGET SECRETARY 4142764520 2017-05-23 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2017-05-23 67.137.57.251 2017-05-23 11:23:51 CD P AEB561FE889C33FEC0A971B5B75B31039963007A 58AD9E9DE30FC512FEEF3CA8C51B131BFFB09503 2016 2021-01-29 14:40:06Z VICTORIA BOHMAN 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 421878 0 X WWW.WDA.ORG/WDA-FOUNDATION X 1957 WI SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 19 19 3 1575 0 0 300473 298203 0 0 107171 92110 20063 15999 427707 406312 62100 67940 0 0 122429 128442 0 0 1645 179844 199580 364373 395962 63334 10350 2858990 2959297 33926 14335 2825064 2944962 SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 0 0 94242 DONATED DENTAL SERVICES - PROVIDED DENTAL SERVICES VALUED AT $667,234 FOR DENTAL TREATMENT OF DISABLED, ELDERLY AND MEDICALLY-COMPROMISED INDIVIDUALS WHO COULD NOT AFFORD THE DENTAL CARE NEEDED. 136862 PROVIDED FREE DENTAL CARE TO 1,064 UNINSURED, LOW-INCOME INDIVIDUALS VALUED AT $964,000 OVER A TWO-DAY PERIOD IN EAU CLAIRE, WI. 68814 67940 ENHANCES EDUCATIONAL OPPORTUNITIES BY AWARDING SCHOLARSHIPS TO DENTAL AND DENTAL HYGIENE STUDENTS IN THE STATE OF WISCONSIN AND PROVIDED GRANTS IN SUPPORT OF STATEWIDE COMMUNITY DENTAL HEALTH PROJECTS AND CLINICS WHERE DENTAL CARE IS PROVIDED TO THE LOW INCOME POPULATION. 299918 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 3 1 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X ABBY VAN KERKVOORDE 4147554102 6737 W WASHINGTON STREET WEST ALLIS WI 53214 DR LOREN SWANSON PRESIDENT 3.00 X X 0 0 0 DR CHRISTINE TEMPAS TREASURER 3.00 X X 0 0 0 MR MARK PAGET SECRETARY 3.00 X X 0 0 0 DR ROGER COMEAU EMERITUS MEMBER 1.00 X 0 0 0 DR RONALD STIFTER EMERITUS MEMBER 1.00 X 0 0 0 MR DENNIS MCGUIRE EMERITUS MEMBER 1.00 X 0 0 0 DR JAMES MORGENROTH VICE PRESIDENT 3.00 X X 0 0 0 DR ANTHONY SCIASCIA IMMEDIATE PAST PRESIDENT 3.00 X X 0 0 0 DR KENT VANDEHAAR DIRECTOR 1.00 X 0 0 0 DR THOMAS PETERSEN DIRECTOR 1.00 X 0 0 0 DR PETER STEINERT DIRECTOR 1.00 X 0 0 0 DR JAMES VAN MILLER DIRECTOR 1.00 X 0 0 0 DR JACK SADOWSKI DIRECTOR 1.00 X 0 0 0 DR RUSSELL DUNKEL DIRECTOR 1.00 X 0 0 0 DR THOMAS RAIMANN DIRECTOR 1.00 X 0 0 0 DR JOSEPH BEST DIRECTOR 1.00 X 0 0 0 DR PAUL OBERBRECKLING DIRECTOR 1.00 X 0 0 0 DR ROBB WARREN DIRECTOR 1.00 X 0 0 0 DR RACHEL STEELE DIRECTOR 1.00 X 0 0 0 MR PAUL BATLEY DIRECTOR AT-LARGE 1.00 X 0 0 0 MR ANDY LEHMKUHL DIRECTOR AT-LARGE 1.00 X 0 0 0 MS JEANNE RUDE DIRECTOR AT-LARGE 1.00 X 0 0 0 MR TOM WITKOWSKI DIRECTOR AT-LARGE 1.00 X 0 0 0 VICTORIA BOHMAN EXECUTIVE DIRECTOR 32.00 X 46946 0 3248 46946 0 3248 0 0 0 0 0 53361 244842 298203 92110 92110 31565 15566 15999 15999 406312 0 0 108109 54440 54440 13500 13500 50194 50194 67039 67039 3873 3873 410 87 323 6926 4657 2269 8550 8550 8805 8805 7720 7585 135 500 500 64621 58972 4184 1465 70686 65476 5210 3269 2585 504 180 601 190 411 18414 5305 13109 PROGRAM EVENT EXPENSES 7880 7880 TREATMENT EXPENSE 7866 7866 VOLUNTEER RECOGNITION 463 463 REGISTRATION 205 205 395962 299918 94399 1645 92701 33254 367267 367890 15836 28924 75711 42389 11100 600 15483 15483 0 0 2296307 2486172 68 68 2858990 2959297 33926 14335 33926 14335 X 2449747 2609805 375317 335157 2825064 2944962 2858990 2959297 10350 109548 0 X X 0 1 X 1 0 X 403460 434146 354031 300473 298203 1790313 403460 434146 354031 300473 298203 1790313 382007 1408306 59064 88648 110843 107171 92110 457836 2248149 192536 0.62640 0.62150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15483 15483 0 0 534621 109548 12000 15566 137114 397507 8805 8805 406312 414723 12000 15566 27566 387157 8805 8805 395962 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 15,566. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 15,566. GOLF OUTING 31565 31565 815 14751 31565 31565 815 14751 15566 15999 1 EDUCATIONAL SCHOLARSHIPS FOR DENTAL AND DENTAL HYGIENE STUDENTS 11 13500 PART I, LINE 2: RECIPIENTS FORWARD COPIES OF PAID RECEIPTS INCURRED FOR EXPENSES ASSOCIATED WITH THE GRANT TO BE RECEIVED. GRANT PAYMENTS MADE AFTER REVIEW OF THESE DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF THE 990 IS REVIEWED IN PERSON WITH THE ENTIRE BOARD OF DIRECTORS BEFORE IT IS FILED. KIM ANDERSON, CPA WALKS THE BOARD THROUGH IT AT THE MAY BOARD MEETING EACH YEAR. IT IS ALSO EMAILED OUT TO THE BOARD PRIOR TO THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE ASKED AT EACH MEETING IF THEY HAVE A CONFLICT WITH ANY ISSUE ON THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15A MARK PAGET, SECRETARY, AND ABBY VAN KERKVOORDE, DIRECTOR OF FINANCE, DETERMINE THE SALARY OF THE EXECUTIVE DIRECTOR. THIS SALARY IS LATER APPROVED BY THE ENTIRE BOARD IN CONJUNCTION WITH THE APPROVAL OF THE BUDGET. COMPARABLE WAGE DATA IS OBTAINED FROM AN INDEPENDENT FIRM SPECIALIZING IN HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR