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DELTA DENTAL ENDOWMENT ASSOCIATION OF NEW JERSEY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL ENDOWMENT ASSOCIATION OF NEW JERSEY INC (EIN 22-2764745)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201403169349302395
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-12T11:45:12-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222764745EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF NEW JERSEY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JAMES SULESKIInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone9732854029PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11639 ROUTE 10 PO BOX 222AddressLine1
Address Line2SuiteAddressLine2
CityPARSIPPANYCity
StateNJState
ZIP Code070540222ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES SULESKIPersonNm
Person TitleVP/ASST TREASURERPersonTitleTxt
Phone9738989494PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnthony J PanicoPreparerPersonNm
PTINP00365556PTIN
Phone9738989494PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDENNIS G WILSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11639 ROUTE 10AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code070540222ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$910,950GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressDELTADENTALNJ.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROMOTE AND ASSIST PUBLIC SERVICE EDUCATIONAL PROJECTS DEVOTED TO THE ENHANCEMENT OF DENTAL HEALTH AND RESEARCH PROGRAMS AND VARIOUS ORAL HEALTH EDUCATIONAL ACTIVITIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,900,000PYContributionsGrantsAmt
CY Contributions Grants$900,000CYContributionsGrantsAmt
PY Program Service Revenue$15,825PYProgramServiceRevenueAmt
CY Program Service Revenue$10,950CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,915,825PYTotalRevenueAmt
CY Total Revenue$910,950CYTotalRevenueAmt
PY Grants And Similar Paid$963,640PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,712,818CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,425PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,425CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$37,967PYOtherExpensesAmt
CY Other Expenses$37,951CYOtherExpensesAmt
PY Total Expenses$1,003,032PYTotalExpensesAmt
CY Total Expenses$1,752,194CYTotalExpensesAmt
PY Revenues Less Expenses$912,793PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$841,244CYRevenuesLessExpensesAmt
Total Assets BOY$1,919,235TotalAssetsBOYAmt
Total Assets EOY$1,077,991TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,919,235NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,077,991NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFOR MORE THAN 40 YEARS, DELTA DENTAL OF NEW JERSEY HAS REACHED OUT TO SERVE THE PEOPLE OF NEW JERSEY AND MORE RECENTLY IN CONNECTICUT. IT IS OUR MISSION TO PROMOTE ORAL HEALTH TO THE GREATEST NUMBER OF PEOPLE BY PROVIDING ACCESSIBLE DENTAL BENEFIT PROGRAMS OF THE HIGHEST QUALITY, SERVICE, AND VALUE. IN 1986, WE FORMED THE DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. TO AID IN CREATING ACCESS TO CARE FOR THE UNDER-INSURED AND UN-INSURED, AND SUPPORT DENTAL EDUCATION PROGRAMS FOR CHILDREN, AS WELL AS DENTAL ASSISTING AND DENTAL HYGIENE SCHOLARSHIPS FOR STUDENTS PURSUING A CAREER IN THE DENTAL FIELD. EACH YEAR, OUR FOUNDATION AWARDS AT LEAST $1 MILLION TO SUPPORT WORTHWHILE NON-PROFIT ORGANIZATIONS WORKING TO PROVIDE DENTAL CARE AND EDUCATION TO NEW JERSEY'S AND CONNECTICUT'S UNDERSERVED POPULATIONS. COMMUNITY OUTREACH AND EMPLOYEE INVOLVEMENT - FOR OVER 15 YEARS, DELTA DENTAL HAS BEEN A PREMIER SPONSOR OF SPECIAL OLYMPICS-NJ. OUR EMPLOYEES VOLUNTEER TO ASSIST AT GAMES AND COMPETITIONS THRMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,712,818ExpenseAmt
Grant$1,712,818GrantAmt
Revenue$10,950RevenueAmt
DescEXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES, INCLUDING EDUCATIONAL PROGRAMS, CHARITABLE FUNDING AND HEADSTART, OF DELTA DENTAL OF NEW JERSEY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(4) TAX-EXEMPT ORGANIZATION.Desc
Total Program Service Expenses$1,712,818TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMES SULESKIPersonNm
Phone9732854029PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11639 ROUTE 10AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code070540222ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GENE NAPOLIELLO DDS
PRESIDENT/CHAIRMAN - TRUSTEE6.03.0Yes (X)Yes (X)$0$48,878$1,557
GERALD A SYDELL DDS
VICE CHAIRMAN - TRUSTEE1.07.0Yes (X)Yes (X)$0$92,320$1,557
DENNIS G WILSON
VP - TRUSTEE (EEF 9/4/13)0.750.0Yes (X)Yes (X)$0$195,740$34,967
WALTER VANBRUNT
VP - TRUSTEE (1/1/13 - 9/3/13)0.750.0Yes (X)Yes (X)$0$1,174,507$80,262
DIANE BELLE
VP/ASST SECRETARY - TRUSTEE6.044.0Yes (X)Yes (X)$0$167,460$51,079
JAMES SULESKI
VP/ASST TREASURER - TRUSTEE0.450.0Yes (X)Yes (X)$0$373,465$81,584
CARL CHAITYN DDS
SECRETARY - TRUSTEE1.03.0Yes (X)Yes (X)$0$46,825$1,557
HENRY F HENDERSON JR
TREASURER - TRUSTEE1.03.4Yes (X)Yes (X)$0$48,275$1,557
RONALD DEBLINGER DMD
TRUSTEE1.020.0Yes (X)$0$162,523$1,557
HONORABLE VICTOR FRIEDMAN
TRUSTEE1.00.0Yes (X)$1,425$0$0
W THOMAS MARGETTS ESQ
TRUSTEE1.05.4Yes (X)$0$56,164$1,557
GEORGE C MCLAUGHLIN DMD
TRUSTEE1.04.8Yes (X)$0$52,825$921
DONALD SCOTT NAVARRO DDS
TRUSTEE0.650.0Yes (X)$0$267,067$88,915
DOUGLAS G SANBORN ESQ
VP/GENERAL COUNSEL - ASST. SEC0.450.0Yes (X)$0$620,864$80,682
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,425TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,306,913TotReportableCompRltdOrgAmt
Total Other Compensation$427,752TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$900,000RelatedOrganizationsAmt
Total Contributions$900,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDENTAL SEMINARSDesc
Business611710BusinessCd
Total Revenue Column$10,950TotalRevenueColumnAmt
Related Or Exempt Func Income$10,950RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,950TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$910,950TotalRevenueColumnAmt
Related Or Exempt Func Income$10,950RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,712,818TotalAmt
Program Services$1,712,818ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,425TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,275TotalAmt
Management And General$18,275ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,071TotalAmt
Management And General$6,071ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,430TotalAmt
Management And General$12,430ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
EDUCATIONAL EXPENSES$925$925
NJ CHARITABLE REGISTRATION$250$250

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,752,194TotalAmt
Program Services$1,712,818ProgramServicesAmt
Management And General$39,376ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,918,235BOYAmt
EOY$1,077,991EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$0EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,919,235BOYAmt
EOY$1,077,991EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$5,000EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,914,235BOYAmt
EOY$1,072,991EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,919,235BOYAmt
EOY$1,077,991EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,919,235BOYAmt
EOY$1,077,991EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$841,244ReconcilationRevenueExpnssAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF NEW JERSEY INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN221896118EIN
Organization Type0OrganizationTypeDesc
Governing Document ListedYes (true)GoverningDocumentListedInd
Supported Org NotifiedYes (true)SupportedOrgNotifiedInd
US OrganizedYes (true)USOrganizedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XFormAndLineReferenceDesc
ExplanationAN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DELTA DENTAL OF NEW JERSEY, INC. AND ITS AFFILIATES, WHICH INCLUDES THIS ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE ORGANIZATION'S 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: THE PLAN FOLLOWS THE RECOGNITION AND DISCLOSURE PROVISIONS OF THE ACCOUNTING STANDARD RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS STANDARD, TAX POSITIONS ARE EVALUATED FOR RECOGNITION USING A MORE-LIKELY-THAN-NOT THRESHOLD, AND THOSE TAX POSITIONS REQUIRING RECOGNITION ARE MEASURED AT THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE PLAN HAS EVALUATED THE LIKELIHOOD OF THEIR TAX POSITIONS BEING CHALLENGED AS REMOTE AND, ACCORDINGLY HAS NOT INCLUDED ANY INCOME TAX PROVISIONS, INCLUDING INTEREST AND PENALTIES, IN THE FINANCIAL STATEMENTS RELATED TO POTENTIAL VIOLATIONS. THE PLAN HAS NO OPEN YEARS PRIOR TO 2010.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (29 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
BLOOMFIELD HEALTH CAREERS FOUNDATION
504 WATCHUNG AVENUEBLOOMFIELDNJ07003223134467501(C)(3)$6,000PROGRAM SUPPORT
BURLINGTON COUNTY COLLEGE
601 PEMBERTON BROWNS MILLS ROADPEMBERTONNJ08068237292149501(C)(3)$6,000PROGRAM SUPPORT
BOYS & GIRLS CLUBS OF NEWARK
500 BROAD STREETNEWARKNJ07003221515405501(C)(3)$30,000PROGRAM SUPPORT
CORNELL SCOTT-HILL HEALTH CORPORATION
400 COLUMBUS AVENUENEW HAVENCT06519060870990501(C)(3)$10,000PROGRAM SUPPORT
CONNECTICUT FOUNDATION FOR DENTAL OUTREACH
835 WEST QUEEN STREETSOUTHINGTONCT06489261437861501(C)(3)$25,000PROGRAM SUPPORT
EASTCONN HEAD START
376 HARTFORD TURNPIKEHAMPTONCT06247061023768501(C)(3)$21,114PROGRAM SUPPORT
EVA'S VILLAGE
393 MAIN STREETPATERSONNJ07501222424542501(C)(3)$25,000PROGRAM SUPPORT
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
410 CAPITOL AVENUEHARTFORDCT06106066000078501(C)(3)$10,500PROGRAM SUPPORT
HOSPITAL FOR SPECIAL CARE
2150 CORBIN AVENUENEW BRITAINCT06053061464179501(C)(3)$15,000PROGRAM SUPPORT
JERSEY SHORE UNIVERSITY MEDICAL CENTER FDN
4900 ROUTE 33NEPTUNENJ07753222342452501(C)(3)$25,000PROGRAM SUPPORT
JFK MEDICAL CENTER
65 JAMES STREETEDISONNJ08818226019101501(C)(3)$25,056PROGRAM SUPPORT
KINDERSMILE FOUNDATION
248 LORRAINE AVEUPPER MONTCLAIRNJ07043562635166501(C)(3)$20,000PROGRAM SUPPORT
MATHENY MEDICAL & EDUCATIONAL CTR
HIGHLAND AVE PO BOX 339PEAPACKNJ07977221482276501(C)(3)$50,000PROGRAM SUPPORT
MIDDLESEX COUNTY COLLEGE FOUNDATION
2600 WOODBRIDGE AVENUEEDISONNJ08818226079662501(C)(3)$6,000PROGRAM SUPPORTPO BOX 3050
OCEAN HEALTH INITIATIVES
500 RIVER AVENUELAKEWOODNJ08701061691342501(C)(3)$35,000PROGRAM SUPPORTSUITE 200
PATERSON PUBLIC SCHOOLS
176 BROADWAYPATERSONNJ07505226002199501(C)(3)$28,000PROGRAM SUPPORT
SOMERSET MEDICAL CENTER FDN
110 REHILL AVENUESOMERVILLENJ08876223294408501(C)(3)$7,500PROGRAM SUPPORT
TRI-COUNTY COMMUNITY ACTION PARTNERSHIP
110 COHANSEY STREETBRIDGETONNJ08302221942357501(C)(3)$25,000PROGRAM SUPPORT
TUNXIS COMMUNITY COLLEGE
271 SCOTT SWAMP ROADFARMINGTONCT06032066268897501(C)(3)$10,106PROGRAM SUPPORT
UNIVERSITY OF BRIDGEPORT
126 PARK AVENUEBRIDGEPORTCT06604060646936501(C)(3)$25,000PROGRAM SUPPORT
YOUTH CONSULTATION SERVICES
284 BROADWAYNEWARKNJ07104221487560501(C)(3)$25,000PROGRAM SUPPORT
ZUFALL HEALTH CENTER
17 SOUTH WARREN STREETDOVERNJ07801223125397501(C)(3)$30,000PROGRAM SUPPORT
UNIVERSITY OF MEDICINE AND DENTISTRY OF NJ
110 BERGEN STREETNEWARKNJ07103237313160501(C)(3)$1,035,000PROGRAM SUPPORT
CONNECTICUT PUBLIC BROADCASTING
1049 ASYLUM AVENUEHARTFORDCT06105060758938501(C)(3)$10,000PROGRAM SUPPORT
DENTAL LIFELINE NETWORK
25 KENNEDY BLVDEAST BRUNSWICKNJ08816222469940501(C)(3)$25,000PROGRAM SUPPORT
MORRISTOWN MEDICAL CENTER FOUNDATION
475 SOUTH STREETMORRISTOWNNJ07960223392808501(C)(3)$75,000PROGRAM SUPPORT
NEWARK BETH ISRAEL MEDICAL CENTER FDN
201 LYONS AVENUENEWARKNJ07112222587176501(C)(3)$25,000PROGRAM SUPPORT
STRATFORD HEALTH DEPARTMENT
468 BIRDSEYE STREETSTRATFORDCT06615066002103501(C)(3)$20,000PROGRAM SUPPORT
CATHEDRAL KITCHEN
1514 FEDERAL STREETCAMDENNJ08105223114500501(C)(3)$15,000PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org29Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, QUESTION 2FormAndLineReferenceDesc
ExplanationFROM TIME TO TIME, THE ORGANIZATION PARTICIPATES INDIRECTLY IN THE GRANTING OF SCHOLARSHIPS FOR PROGRAMS TO EDUCATE DENTISTS AND DEVELOP DENTAL ASSISTANTS. WHEN THIS IS DONE, IT TAKES THE FORM OF A GRANT TO THE DIRECT ADMINISTERING ORGANIZATION WHICH WILL DETERMINE RECIPIENTS BASED UPON DEMONSTRATED FINANCIAL NEED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS G WILSON
VP - TRUSTEE (EEF 9/4/13)$0$149,313$0$51$0$46,376$0$27,159$0$7,808$0$230,707$0$0
WALTER VANBRUNT
VP - TRUSTEE (1/1/13 - 9/3/13)$0$516,864$0$185,141$0$472,502$0$46,410$0$33,852$0$1,254,769$0$0
DIANE BELLE
VP/ASST SECRETARY - TRUSTEE$0$135,386$0$28,914$0$3,160$0$35,827$0$15,252$0$218,539$0$0
JAMES SULESKI
VP/ASST TREASURER - TRUSTEE$0$239,441$0$63,143$0$70,881$0$46,410$0$35,174$0$455,049$0$0
RONALD DEBLINGER DMD
TRUSTEE$0$0$0$0$0$162,523$0$0$0$1,557$0$164,080$0$0
DONALD SCOTT NAVARRO DDS
TRUSTEE$0$201,903$0$45,992$0$19,172$0$56,363$0$32,552$0$355,982$0$0
DOUGLAS G SANBORN ESQ
VP/GENERAL COUNSEL - ASST. SEC$0$318,037$0$81,957$0$220,870$0$46,410$0$34,272$0$701,546$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4BTHE AMOUNTS REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE PARTICIPATION IN A PENSION RESTORATION PLAN BECAUSE THE AMOUNTS ARE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WALTER VANBRUNT, $ 415,706; JAMES SULESKI, $42,866 AND DOUGLAS G. SANBORN, ESQ., $188,848. PLEASE NOTE THAT THE AMOUNTS REFLECTED INCLUDE A GROSS UP FOR 50% OF THE TAX LIABILITY WITH RESPECT TO THE SERP PAYMENTS.
SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VIIINCLUDED IN COLUMN B(II) FOR CERTAIN INDIVIDUALS IS A PAYMENT RELATED TO A MANAGEMENT INCENTIVE PROGRAM. UNDER THIS PROGRAM, A PAYMENT IS MADE TO THESE INDIVIDUALS WHICH IS BASED ON ESTABLISHED TARGETS, BENCHMARKS AND GOALS. IF MET, THE INDIVIDUALS RECEIVE, AS A MANAGEMENT INCENTIVE PAYMENT, ADDITIONAL COMPENSATION BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE ABOVE NOTED PAYMENT WAS INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. DELTA DENTAL OF NEW JERSEY, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 11BTHE ORGANIZATION IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED WITHUMSMITH+BROWN, PC, A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION, TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S SENIOR MANAGEMENT AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF THIS ORGANIZATION'S GOVERNING BODY.
CORE FORM, PART VI, SECTION B; QUESTION 12DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, SENIOR MANAGEMENT AND OTHER KEY PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO MEMBERS OF DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT TEAM. DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT PROVIDES THE COMPLETED QUESTIONNAIRES TO DELTA DENTAL OF NEW JERSEY, INC.'S AUDIT COMMITTEE FOR ITS REVIEW AND DISCUSSION WITH RESPECT TO CONFLICTS AND ANY ASSOCIATED MITIGATING BEHAVIOR. THE AUDIT COMMITTEE THEN REPORTS TO THE ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 14THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF ADOPTING A FORMAL WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY. THE ORGANIZATION CURRENTLY FOLLOWS STATE AND INTERNAL REVENUE SERVICE RULES AND REGULATIONS WITH RESPECT TO DOCUMENT RETENTION AND DESTRUCTION POLICIES AND PROCEDURES.
CORE FORM, PART VI, SECTION B; QUESTION 15DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. HAS NO PAID EMPLOYEES. ALL MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM ARE EMPLOYEES OF DELTA DENTAL OF NEW JERSEY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(4) TAX-EXEMPT ORGANIZATION. PLEASE REFER TO THE DELTA DENTAL OF NEW JERSEY, INC. FORM 990 FOR FURTHER EXPLANATION (FEID: 22-1896118).
CORE FORM, PART VI, SECTION C; QUESTION 19THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY.
CORE FORM, PART XII; QUESTION 2THE ORGANIZATION IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DELTA DENTAL OF NEW JERSEY, INC. AND ITS AFFILIATES, WHICH INCLUDES THIS ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. DELTA DENTAL OF NEW JERSEY INC.'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF NEW JERSEY INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11639 ROUTE 10AddressLine1
CityPARSIPPANYCity
StateNJState
ZIP Code07054ZIPCode
FieldValueIRS element (for citing)
EIN221896118EIN
Primary ActivitiesDENTAL SVCS.PrimaryActivitiesTxt
Legal Domicile StateNJLegalDomicileStateCd
Exempt Code Section501(C)(4)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
DDPNJ CORPORATION
1639 ROUTE 10PARSIPPANYNJ07054223085009HOLDING COMPANYNJDDNJC CORP.false
FLAGSHIP HEALTH SYSTEMS INC
1639 ROUTE 10PARSIPPANYNJ07054222671069DENTAL PLAN ORG.NJDDPNJC CORP.false
DENTAL REINSURANCE COMPANY LTD
1639 ROUTE 10PARSIPPANYNJ07054980160853FOREIGN REINS.NJDDPNJC CORP.false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd