2016-04-01T10:59:46-05:00 2015-06-30 Thomas Howell Ferguson PA 2615 Centennial Blvd Suite 200 Tallahassee FL 32308 990 2014-07-01 592019148 FLORIDA DENTAL ASSOCIATION FOUNDATION INC % GREGORY W GRUBER FLOR 8506813629 1111 E TENNESSEE ST TALLAHASSEE FL 323086914 GREGORY W GRUBER CFO 8506813629 2016-04-01 true Deborah L Leonard P00218358 8506688100 2014 2016-08-17 19:52:53Z GREGORY W GRUBER 1111 E TENNESSEE ST TALLAHASSEE FL 32308 1017228 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. 19 19 0 1800 0 0 273172 136348 0 0 116365 179124 0 0 389537 315472 90065 118650 0 0 110096 129548 0 0 81389 334524 130472 534685 378670 -145148 -63198 2512279 2319098 16890 34690 2495389 2284408 X THE FLORIDA DENTAL ASSOCIATION FOUNDATION IS THE CHARITABLE ARM OF THE FLORIDA DENTAL ASSOCIATION, PROMOTING DENTAL HEALTH FOR ALL FLORIDIANS. false false 139998 105425 PDC PROJECT: DENTISTS CARE IS A DENTAL ACCESS-TO-CARE PROGRAM WHICH CONSISTS OF NUMEROUS ORGANIZATIONS IN FLORIDA WHO PROVIDE A SAFETY NET OF PREVENTIVE AND RESTORATIVE CARE. PATIENTS WHO RECEIVE SERVICES UNDER PDC ARE TYPICALLY LOW-INCOME INDIVIDUALS THAT DON'T QUALIFY FOR PUBLIC ASSISTANCE BUT HAVE THE GREATEST UNMET NEEDS. 44645 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 TREATMENT FOR SEVERE DENTAL CONDITIONS. QUALIFIED PATIENTS 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. 3225 3225 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. 187868 true true false false false false false false false true false true false false true true true true false false false false false false false false false true true true false false false false false false false true false false false false false true false false false true 0 0 true 0 false false false false false false false false false false X 19 19 true false true false false false false true true false false true true true true true true false true false X GREGORY W 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 10.0 X 0 30000 0 NOLAN ALLEN DIRECTOR 3.0 0.0 X 0 0 0 KIM JERNIGAN DIRECTOR 3.0 10.0 X 0 0 0 RALPH ATTANASI DIRECTOR 3.0 10.0 X 0 30450 0 NATALIE CARR DIRECTOR 3.0 0.0 X 0 0 0 RICK STEVENSON DIRECTOR 3.0 10.0 X 0 30450 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 5.0 0.0 X X 0 0 0 ROBERT PAYNE 1ST VICE PRESIDENT 3.0 0.0 X X 0 0 0 C WILLIAM D'AIUTO SECRETARY 3.0 0.0 X X 0 0 0 IDALIA LASTRA TREASURER 3.0 0.0 X X 0 0 0 ROBERT FERRIS DIRECTOR 3.0 0.0 X 0 0 0 CAROL STEWART DIRECTOR 3.0 0.0 X 0 0 0 NANCY HAVENS DIRECTOR 3.0 0.0 X 0 0 0 LEO CULLINAN DIRECTOR 3.0 0.0 X 0 0 0 AUDREY GALKA DIRECTOR 3.0 0.0 X 0 0 0 ANDREW JAMES EASON CEO 5.0 50.0 X 0 249371 24983 JACK MOORE CFO (7/1/14 - 12/7/14) 5.0 35.0 X 0 158484 24179 JAMES WALTON III IMMEDIATE PAST PRESIDENT 3.0 0.0 X 0 0 0 GREGORY GRUBER CFO (12/8/14 - 6/30/15) 8.0 35.0 X 0 4803 8570 HEATHER DEGAN DIRECTOR OF FOUNDATION AFFAIRS 35.0 5.0 X 0 12491 1068 RUSSELL PAYTON COO 8.0 35.0 X 0 171755 12990 0 687804 71790 0 false true false 0 21093 115255 2160 136348 0 119467 119467 0 0 0 0 0 761413 701756 59657 59657 59657 0 0 0 0 315472 179124 110000 110000 8650 8650 0 0 0 0 129548 32387 64774 32387 0 0 0 0 0 8700 8700 0 0 0 2083 2083 20194 20194 30112 21421 8691 296 296 0 0 19037 2186 11796 5055 0 1861 1861 0 0 0 155 155 PROGRAM EXPENSES 34645 34645 SPONSORSHIPS 12500 12500 AWARDS 479 479 FEES& LICENSES 410 410 378670 187868 109413 81389 0 0 307482 283880 0 0 2051 1327 0 0 0 0 0 0 0 0 6333 926 0 0 0 2105665 1959211 0 0 0 0 90748 73754 2512279 2319098 54 11777 0 0 300 19500 0 0 0 0 0 0 0 0 0 0 16536 3413 16890 34690 X 1967389 1759055 415314 412667 112686 112686 2495389 2284408 2512279 2319098 X -63198 -147783 X X false true X true false X 355232 319752 329770 273172 131832 1409758 54216 31140 14810 100166 1300 1300 0 0 410748 350892 344580 273172 131832 1511224 51370 32980 38030 32520 28263 183163 0 51370 32980 38030 32520 28263 183163 1328061 147726 46698 133886 116365 179124 623799 0 147726 46698 133886 116365 179124 623799 0 122210 2053 124263 680684 399643 478466 389537 310956 2259286 0.58782 0.64420 0.27610 0.19260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 129920 -2928 126992 230561 73442 174083 129920 0.59000 0.17000 0.24000 false false MUTUAL FUNDS 1959211 F 1959211 0 INTERCOMPANY PAYABLES 3413 3413 X 291936 -147783 124247 -23536 315472 315472 502917 124247 124247 378670 378670 PART X, LINE 2: WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO EXAMINATIONS BY MAJOR TAX JURISDICTIONS FOR YEARS ENDED JUNE 30, 2011 AND PRIOR. PART XI LINE 2d: IN-KIND REVENUE: $ 124,247. PART XII LINE 2d: IN-KIND EXPENSES: $ 124,427. true ALACHUA COUNTY MEDICAL FOUNDATION INC 235 SW 2ND AVE GAINESVILLE FL 32601 592065918 501(c)(3) 7000 FINANCIAL SUPPORT ACORN CLINIC 23320 N STATE RD 235 BROOKER FL 32622 591627845 501(c)(3) 6000 FINANCIAL SUPPORT BARNABAS CENTER INC 11 S 11TH ST FERNANDINA BEACH FL 32304 592920275 501(c)(3) 6000 FINANCIAL SUPPORT CHAPMAN PARTNERSHIP 1550 NORTH MIAMI AVE MIAMI FL 33136 650425069 501(c)(3) 6000 FINANCIAL SUPPORT DENTAL CARE ACCESS FOUNDATION INC 800 N MILLS AVE ORLANDO FL 32803 201531222 501(c)(3) 7000 FINANCIAL SUPPORT NEIGHBORHOOD HEALTH CLINIC INC 121 N GOODLETTE RD NAPLES FL 34102 593546884 501(c)(3) 6000 FINANCIAL SUPPORT WEST JAX OUTREACH 5042 TIMUQUANA ROAD JACKSONVILLE FL 32210 593038067 501(c)(3) 6000 FINANCIAL SUPPORT MORE HEALTH INC 3821 HENDERSON BLVD TAMPA FL 32629 593397472 501(c)(3) 25000 FINANCIAL SUPPORT DENTAL LIFELINE NETWORK 1800 15TH STREET SUITE 100 DENVER CO 80202 841533654 501(C)(3) 35000 FINANCIAL SUPPORT 8 WCCDA SCHOLARSHIP AWARDS 10 3325 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. X X false false false false false false false false false ANDREW JAMES EASON CEO 0 249371 0 0 0 0 0 16981 0 8002 0 274354 0 0 JACK MOORE CFO (7/1/14 - 12/7/14) 0 124178 0 0 0 34306 0 15848 0 8331 0 182663 0 0 RUSSELL PAYTON COO 0 167840 0 0 0 3915 0 10964 0 2026 0 184745 0 0 KAREN BUCKENHEIMER ON BOARD OF DIRECTORS 25000 GRANT false PART IV, LINE 1 DURING THE YEAR ENDED JUNE 30, 2015, FLORIDA DENTAL ASSOCIATION FOUNDATION, INC (FDAF) WAS RELATED TO MORE HEALTH, INC BY VIRTUE OF MORE HEALTH'S EXECUTIVE DIRECTOR BEING A MEMBER OF FDAF'S BOARD OF DIRECTORS. FDAF PROVIDED A $25,000 GRANT TO MORE HEALTH, INC A 501(C)(3) ORGANIZATION. THIS GRANT WAS FOR ORAL HEALTH EDUCATION FOR ELEMENTARY CHILDREN. IN ACCORDANCE WITH THE FOUNDATION'S CONFLICT OF INTEREST POLICY, NEITHER KAREN BUCKENHEIMER NOR TERRY BUCKENHEIMER WERE A PARTY TO THE BOARD DISCUSSION OR VOTE ON THIS GRANT. PART VI: GOVERANCE, MANAGEMENT, AND DISCLOSURE SECTION A, LINE 2 TERRY AND KAREN BUCKHEIMER ARE BOTH BOARD MEMBERS AND MARRIED. PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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. PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B, 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 ALSO THERE IS A VERBAL REMINDER AT EACH MEETING AND INCLUDED ON THE AGENDA. ALL BOARD MEMBERS SIGN/DATE A WRITTEN STATEMENT THAT EITHER LISTS ANY BUSINESS INTERESTS THEY ARE INVOLVED WITH RELATED BANKS OR ORGANIZATIONS, ETC THAT COULD POTENTIALLY BE A CONFLICT OF INTEREST OR NOTE THAT THEY DON'T HAVE ANY CONFLICTS AND SIGN AND DATE THE STATEMENT ( EXAMPLES OF BANKS, OTHER BUSINESS ORGANIZATIONS WHO DEAL WITH THE FOUNDATION ARE PROVIDED TO THE BOARD MEMBERS AS EXAMPLES, ETC). PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION B, LINE 15B THE EXECUTIVE DIRECTOR WAS HIRED UTLITIZING A THIRD-PARTY SEARCH SERVICE AND BEGINNING FYE 6/30/14 MERCES CONSULTING COMPANY COMPARED EMPLOYEES' WAGES TO COMPARABLE JOBS IN COMPARABLE NON-PROFIT ASSOCIATIONS BY SIZE, ETC 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. PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURE SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 SALES FL C CORP false false false false false false false false false false false false false false true true true false false false FLORIDA DENTAL ASSOCIATION P 124247 IN-KIND