2014-11-13T17:03:29-08:00 2013-12-31 PACIFIC DENTAL SERVICES PO Box 6107 Norco CA 92860 990PF 2013-01-01 455083789 PDS Serve Foundation PDSS 7148458757 17000 RED HILL AVENUE IRVINE CA 92614 STEPHEN THORNE President 2014-11-13 true Ken Blaisdell P00634226 7148458680 2013 2015-12-30 17:16:21Z X 539506 X 421344 104 421448 0 8748 8748 15239 14771 468 5072 4624 448 1009 1009 31360 159380 869 158511 278417 19657 258760 499225 0 49678 418187 0 0 499225 0 49678 418187 -77777 0 68276 21178 21178 250104 250104 287134 31360 255774 255774 76466 12450 12450 144742 539506 539506 71462 1458 542545 71462 544003 X 73280 -4497 73280 -4497 144742 539506 73280 -77777 -4497 -4497 0 false false false false false false false false true true CA true true true false false true pacificdentalservices.com/giving/foundation Ken Blaisdell 7148458680 PO Box 6107 Norco CA 92860 false false false false false false false false false false false false false false false false false false false false false false false false false false STEPHEN THORNE 1615 Liege Dr Henderson NV 89012 President 0.00 0 PAMELA THORNE 1615 Liege Dr Henderson NV 89012 Secretary 0.00 0 BRADY AASE 11 DENNIS LANE LADERA RANCH CA 92694 CFO & Treasurer 0.00 0 NONE NONE International Communities - providing free dentistry to underserved communities in Ethiopia and Fiji. 268260 National Communities - providing oral health grants/scholarships/education; providing encouragement and resources in the areas of relationships, marriages and families. 70241 Local Communities - Providing free dentistry to challenged urban areas and rural communities in need. 79685 0 169779 0 169779 0 169779 2547 167232 8362 X 418187 418187 418187 X 0 0 418187 239280 657467 418187 239280 657467 538712 144741 683453 538712 144741 683453 0 BARBARA VARTANIAN 17000 RED HILL AVE IRVINE CA 92614 7148458757 VARTANIANB@PACDEN.COM APPLICATIONS SHOULD BE SUBMITTED EITHER IN WRITTEN FORM (ON 8.5" X 11") OR BY EMAIL TO VARTANIANB@PACDEN.COM. APPLICATIONS SHOULD INCLUDE - 1) NAME, ADDRESS, TELEPHONE NUMBER AND WEB SITE OF REQUESTING ORGANIZATION2) COPY OF MOST RECENT TWO YEARS' INDEPENDENT AUDITORS' REPORT ON REQUESTING ORGANIZATION, IF AVAILABLE3) A DESCRIPTION OF CHARITABLE ACTIVITIES FOR WHICH GRANT IS REQUESTED, INCLUDING LOCATION4) PERSONS OR CAUSES BENEFITED BY THE ACTIVITIES5) AMOUNT AND DATE(S) OF REQUESTED GRANT(S)6) INFORMATION ABOUT PRIOR CHARITABLE ACTIVITIES OF THE REQUESTING ORGANIZATION7) CONTACT INFORMATION (ADDRESS, PHONE # AND EMAIL) OF INDIVIDUAL SUBMITTING REQUEST AT LEAST 6 MONTHS PROR TO REQUESTED DATE REQUESTED GRANTS & AWARDS MUST BE CONSISTENT WITH THE FOUNDATION'S CHARITABLE PURPOSE 14 104 104 104 false false false false false false false false false false X X 1 Henry Schein Inc 135 Duryea Road Melville NY 11747 125844 X 2 Stephen Thorne 1615 Liege Dr Henderson NV 89012 25000 X 3 Bank of the West 4400 MacArthur Blvd Suite 150 Newport Beach CA 92660 25000 X 4 Bowana Foundation 831 Pearl Street Boulder CO 80302 10000 X 5 Minh Pham 4733 Mountain View Drive 5 San Diego CA 92116 6000 X 6 Sirona Dental Inc 4835 Sirona Drive Suite 100 Charlotte NC 28273 25000 X 7 Nobel Biocare 22715 Savi Ranch Parkway Yorba Linda CA 92887 10000 X 8 QSI Management 18111 Von Karman Ave Ste 70 Irvine CA 92612 25000 X 9 Sageview Advisory Group Inc 1920 Main Street Ste 800 Irvine CA 92614 10000 X 10 Tanisha Jackson 734 Strada Casalingo Ct Redlands CA 92373 5100 X 11 Wells Fargo Bank 2030 Main St 9th Floor Irvine CA 92614 25000 X 1 Dental supplies & equipment 125844 2013-12-31 Transportation Equipment 2013-07-15 287134 91 5.0000 31360 Auto./Transportation Equip. 255774 Miscellaneous 287134 31360 255774 15239 0 14771 468 PREPAID INSURANCE 12450 12450 Advertising 35 35 Automobile Expense 22159 22159 Bank Charges 3234 3234 Computer Expense 40 40 Dues & Subscriptions 1707 750 957 Education Expense 105 105 Liability Expense 36068 15054 21014 License & Permits 976 -228 1204 Office Expense 3965 371 3594 Promo 464 464 Storage Fees 1816 476 1340 Supplies 207848 207848 Due To Affiliates 538078 other liabilities 4466 Rounding 1 Consulting 4624 0 4624 0 Other 448 0 0 448 STEPHEN E THORNE 1615 Liege Dr Henderson NV 89012 Wells Fargo Bank 2030 Main St 9th Floor Irvine CA 92614 QSI Management 18111 Von Karman Ave Ste 700 Irvine CA 92612 Bank of the West 4400 MacArthur Blvd Suite 150 Newport Beach CA 92660 Sirona Dental Inc 4835 Sirona Drive Suite 100 Charlotte NC 28273 Henry Schein Inc 135 Duryea Road Melville NY 11747 FTB 10 10 Payroll 999 999