2016-06-06T15:47:41-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2015-01-01 390965289 WISCONSIN DENTAL ASSOCIATION FOUNDATION INC WISC 4142764520 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 MARK PAGET SECRETARY 4142764520 2016-05-25 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2016-05-25 2015 2016-09-27 15:27:22Z VICTORIA BOHMAN 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 452193 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. 15 15 3 1894 0 0 354031 300473 0 0 110843 107171 16884 20063 481758 427707 63473 62100 0 0 108374 122429 0 0 1900 225888 179844 397735 364373 84023 63334 2901946 2858990 11805 33926 2890141 2825064 SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 0 0 104946 DONATED DENTAL SERVICES - PROVIDED DENTAL SERVICES VALUED AT $684,677 FOR DENTAL TREATMENT OF DISABLED, ELDERLY AND MEDICALLY-COMPROMISED INDIVIDUALS WHO COULD NOT AFFORD THE DENTAL CARE NEEDED. 114226 PROVIDED FREE DENTAL CARE TO 1,304 UNINSURED, LOW-INCOME INDIVIDUALS VALUED AT $1,029,800 OVER A TWO-DAY PERIOD IN FOND DU LAC, WI. 62738 62100 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. 281910 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 17 0 1 3 1 0 0 0 0 0 0 0 0 X 15 15 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 DIRECTOR EMERITUS 1.00 X 0 0 0 DR RONALD STIFTER DIRECTOR EMERITUS 1.00 X 0 0 0 MR DENNIS MCGUIRE DIRECTOR EMERITUS 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 SUSAN CABLE 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 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 30.00 X 45357 0 4481 45357 0 4481 0 0 0 0 0 53361 247112 300473 107171 107171 44549 24486 20063 20063 427707 0 0 127234 49100 49100 13000 13000 49838 49838 59992 59992 5578 5578 7021 3627 3394 8350 8350 9012 9012 27856 26686 1170 500 500 64417 58684 4287 1446 46070 43428 2642 5372 4717 486 169 1566 962 319 285 4968 4647 321 PROGRAM EVENT EXPENSES 10522 10522 VOLUNTEER RECOGNITION 817 817 REGISTRATION 394 150 244 364373 281910 80563 1900 87887 92701 366607 367267 29488 15836 76579 75711 11600 11100 15483 15483 0 0 2329718 2296307 67 68 2901946 2858990 8632 33926 3173 0 11805 33926 X 2506960 2449747 383181 375317 2890141 2825064 2901946 2858990 63334 -128411 0 X X 0 1 X 1 0 X 413071 403460 434146 354031 300473 1905181 413071 403460 434146 354031 300473 1905181 464189 1440992 47694 59064 88648 110843 107171 413420 2318601 214187 0.62150 0.64370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15483 15483 0 0 326770 -128411 12000 24486 -91925 418695 9012 9012 427707 391847 12000 24486 36486 355361 9012 9012 364373 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 24,486. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 24,486. GOLF OUTING 44549 44549 2425 22061 44549 44549 2425 22061 24486 20063 1 EDUCATIONAL SCHOLARSHIPS FOR DENTAL AND DENTAL HYGIENE STUDENTS 10 13000 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 11 THE DRAFT OF THE 990 IS REVIEWED IN PERSON WITH THE ENTIRE BOARD BEFORE IT IS FILED. EACH BOARD MEMBER RECEIVES A DRAFT COPY OF THE RETURN THROUGH EMAIL PRIOR TO THE BOARD MEETING. THE ORGANIZATION'S CPA FIRM WALKS THE BOARD THROUGH THE RETURN AT THE MAY BOARD MEETING EACH YEAR. 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