PARK PLACE HEALTH & DENTAL CLINIC INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PARK PLACE HEALTH & DENTAL CLINIC INC (EIN 45-3086608)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-12
- IRS object ID
- 201321639349300222
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-06-12T13:03:00-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | D BARRY IACONO AND ASSOCIATES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5511 PRINCESS ANNE RD STE 102 | AddressLine1 |
| City | VIRGINIA BEACH | City |
| State | VA | State |
| ZIP Code | 234623350 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453086608 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK PLACE HEALTH & DENTAL CLINIC | BusinessNameLine1 |
| Business Name Line2 | INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PARK | NameControl |
| Phone | 7573903288 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 606 W 29TH ST | AddressLine1 |
| City | NORFOLK | City |
| State | VA | State |
| ZIP Code | 23508 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL B STOUT | Name |
| Title | CHAIRMAN OF THE BOARD | Title |
| Phone | 7573903288 | Phone |
| Date Signed | 2013-05-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | D BARRY IACONO EA CFP | Name |
| Phone | 7576717000 | Phone |
| Date Prepared | 2013-05-30 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL B STOUT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 772 LARGO DR | AddressLine1 |
| City | VIRGINIA BEACH | City |
| State | VA | State |
| ZIP Code | 23464 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 307740 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PARKPLACECLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2011 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | MISSION OF THE CLINIC IS TO PROVIDE EXCELLENT DENTAL CARE IN THE AREAS OF EXTRACTIONS, FILLINGS AND CLEANINGS TO THE HOMELESS, LOW-INCOME AND UNDERSERVED RESIDENTS OF THE CITY OF NORFOLK. AN ADDED MANDATE IS ALSO TO PROVIDE GREAT COMMUNITY IMPACT CLASSES TO RESIDENTS OF NORFOLK. PARK PLACE HEALTH & DENTAL CLINIC SEEKS TO BE A POSITIVE IMPACT IN THE COMMUNITY THROUGH DENTAL SERVICES AND COMMUNITY INVOLVEMENT. OUR MISSION MOTTO IS THAT WE "CHANGE LIVES, ONE SMILE AT A TIME" | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6 | TotalNbrEmployees |
| Total Nbr Volunteers | 134 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 307740 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Current Year | 307740 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 82422 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 7841 | TotalFundrsngExpCurrentYear |
| Other Expenses Current Year | 242638 | OtherExpensesCurrentYear |
| Total Expenses Current Year | 325060 | TotalExpensesCurrentYear |
| Revenues Less Expenses CY | -17320 | RevenuesLessExpensesCY |
| Total Assets EOY | 32476 | TotalAssetsEOY |
| Total Liabilities EOY | 49796 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances EOY | -17320 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MISSION OF THE CLINIC IS TO PROVIDE EXCELLENT DENTAL CARE IN THE AREAS OF EXTRACTIONS, FILLINGS AND CLEANINGS TO THE HOMELESS, LOW-INCOME AND UNDERSERVED RESIDENTS OF THE CITY OF NORFOLK. AN ADDED MANDATE IS ALSO TO PROVIDE GREAT COMMUNITY IMPACT CLASSES TO RESIDENTS OF NORFOLK. PARK PLACE HEALTH & DENTAL CLINIC SEEKS TO BE A POSITIVE IMPACT IN THE COMMUNITY THROUGH DENTAL SERVICES AND COMMUNITY INVOLVEMENT. OUR MISSION MOTTO IS THAT WE "CHANGE LIVES, ONE SMILE AT A TIME" | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Description | PARK PLACE HEALTH & DENTAL CLINIC PARTICIPATES IN THE HOMELESS CONNECT PROJECTS WHICH ARE A TWICE A YEAR ACTIVITY OF PROVIDING NOT JUST DENTAL SERVICES BUT MANY OTHER AGENCY-RELATED SERVICES FOR NORFOLK HOMELESS, LOW- INCOME AND UNDERSERVED. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 217747 | Expense |
| Description | PARK PLACE HEALTH & DENTAL CLINIC PARTICIPATES IN THE HOMELESS CONNECT PROJECTS WHICH ARE A TWICE A YEAR ACTIVITY OF PROVIDING NOT JUST DENTAL SERVICES BUT MANY OTHER AGENCY-RELATED SERVICES FOR NORFOLK HOMELESS, LOW- INCOME AND UNDERSERVED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 217747 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 217747 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCUMENT MANAGEMENT COMPANY | BusinessNameLine1 |
| Business Name Line2 | DOCUMENT MANAGEMENT COMPANY | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7574950829 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 LORD DUNMORE DR | AddressLine1 |
| Address Line2 | 750 LORD DUNMORE DR | AddressLine2 |
| City | VIRGINIA BEACH | City |
| State | VA | State |
| ZIP Code | 23464 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| CRAIG CLAYTON | ||||||
| DIRECTOR MEM | 3.00 | X | 0 | 0 | 0 | |
| MARK HORNING | ||||||
| DIRECTOR MEM | 2.00 | X | 0 | 0 | 0 | |
| SHIRLEY BISCIGLIA | ||||||
| DIRECTOR MEM | 1.00 | X | 0 | 0 | 0 | |
| SYBIL QUILLEN | ||||||
| DIRECTOR MEM | 3.00 | X | 0 | 0 | 0 | |
| MICHAEL B STOUT | ||||||
| CHAIRMAN OF | 16.00 | 0 | 0 | 0 | X | |
| D BARRY IACONO | ||||||
| TREASURER | 2.00 | 0 | 0 | 0 | X | |
| CANDICE DRISKELL | ||||||
| SECRETARY | 2.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Membership Dues | 188571 | MembershipDues |
| Related Organizations | 29230 | RelatedOrganizations |
| Government Grants | 76259 | GovernmentGrants |
| All Other Contributions | 13680 | AllOtherContributions |
| Noncash Contributions | 162971 | NoncashContributions |
| Total Contributions | 307740 | TotalContributions |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 307740 | TotalRevenueColumn |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75946 | Total |
| Program Services | 34052 | ProgramServices |
| Management And General | 34052 | ManagementAndGeneral |
| Fundraising | 7842 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6476 | Total |
| Program Services | 3238 | ProgramServices |
| Management And General | 3238 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1828 | Total |
| Management And General | 1828 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7128 | Total |
| Management And General | 7128 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5125 | Total |
| Management And General | 5125 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9136 | Total |
| Management And General | 9136 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23861 | Total |
| Program Services | 8931 | ProgramServices |
| Management And General | 14931 | ManagementAndGeneral |
| Fundraising | -1 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4263 | Total |
| Program Services | 4263 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13680 | Total |
| Management And General | 13680 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 942 | Total |
| Management And General | 942 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17499 | Total |
| Program Services | 17474 | ProgramServices |
| Management And General | 25 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149291 | Total |
| Program Services | 149291 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 498 | Total |
| Program Services | 498 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9387 | Total |
| Management And General | 9387 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325060 | Total |
| Program Services | 217747 | ProgramServices |
| Management And General | 99472 | ManagementAndGeneral |
| Fundraising | 7841 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 13912 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | -5125 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 20500 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2858 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 829 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 498 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 331 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 32476 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 12230 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 31752 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1814 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 49796 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | -49072 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 31752 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | -17320 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 32476 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -17320 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 307740 | CurrentTaxYear |
| Total | 307740 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 307740 | CurrentTaxYear |
| Total | 307740 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 307740 | PublicSupportTotal170 |
| Total Support | 307740 | TotalSupport |
| Public Support Pertcentage170 | 1.00000 | PublicSupportPertcentage170 |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 829 | OtherCostOrOtherBasis |
| Depreciation | 498 | Depreciation |
| Book Value | 331 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 331 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYROLL - EMPLOYEE DENTAL INSURANCE | $710 |
| MASTERCARD - MIKE | $698 |
| PAYROLL - EMPLOYEE HEALTH INSURANCE | $370 |
| MASTERCARD - GRACE | $36 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1814 | TotalOfAmounts |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 13680 | NoncashContribsRptdF990 |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 149291 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | MISSION OF THE CLINIC IS TO PROVIDE EXCELLENT DENTAL CARE IN THE AREAS OF EXTRACTIONS, FILLINGS AND CLEANINGS TO THE HOMELESS, LOW-INCOME AND UNDERSERVED RESIDENTS OF THE CITY OF NORFOLK. AN ADDED MANDATE IS ALSO TO PROVIDE GREAT COMMUNITY IMPACT CLASSES TO RESIDENTS OF NORFOLK. PARK PLACE HEALTH & DENTAL CLINIC SEEKS TO BE A POSITIVE IMPACT IN THE COMMUNITY THROUGH DENTAL SERVICES AND COMMUNITY INVOLVEMENT. OUR MISSION MOTTO IS THAT WE "CHANGE LIVES, ONE SMILE AT A TIME" |
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEER PART-TIME TO PROVIDE SERVICES OF A DENTIST, DENTAL ASSISTANT, DENTAL HYGIENIST, NURSE, RECEPTION, AND CLERICAL. |
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | PARK PLACE HEALTH & DENTAL CLINIC PARTICIPATES IN THE HOMELESS CONNECT PROJECTS WHICH ARE A TWICE A YEAR ACTIVITY OF PROVIDING NOT JUST DENTAL SERVICES BUT MANY OTHER AGENCY-RELATED SERVICES FOR NORFOLK HOMELESS, LOW- INCOME AND UNDERSERVED. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |