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NORTH EAST REGIONAL BOARD OF DENTAL EXAMINERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTH EAST REGIONAL BOARD OF DENTAL EXAMINERS (EIN 52-0894780)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-12-15
IRS object ID
201323519349300012
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

FieldValueIRS element (for citing)
Timestamp2013-12-15T12:11:29-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521711839EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNCILOR BUCHANAN & MITCHELL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17910 WOODMONT AVENUE SUITE 500AddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN520894780EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH EAST REGIONAL BOARD OFBusinessNameLine1
Business Name Line2DENTAL EXAMINERS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone3015633300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11304 CONCOURSE DRIVE NO 100AddressLine1
CityLINTHICUMCity
StateMDState
ZIP Code21090ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMYRON ALLUKIAN JRName
TitleTREASURERTitle
Phone3015633300Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameS VINCENT CRESCENZIName
PTINP00105041PTIN
Phone3019860600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11304 CONCOURSE DRIVE NO 100AddressLine1
CityLINTHICUMCity
StateMDState
ZIP Code21090ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9548461GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.NERB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTESTING OF CLINICAL COMPETENCE OF CANDIDATES FOR LICENSURE IN DENTISTRY AND DENTAL HYGIENE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers802TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8777522ProgramServiceRevenuePriorYear
Program Service Revenue CY9519550ProgramServiceRevenueCY
Investment Income Prior Year16937InvestmentIncomePriorYear
Investment Income Current Year-358828InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8794459TotalRevenuePriorYear
Total Revenue Current Year9160722TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year255211GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY203811GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1105056SalariesEtcPriorYear
Salaries Etc Current Year1264355SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6313051OtherExpensePriorYear
Other Expenses Current Year6975466OtherExpensesCurrentYear
Total Expenses Prior Year7673318TotalExpensesPriorYear
Total Expenses Current Year8443632TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1121141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY717090RevenuesLessExpensesCY
Total Assets BOY4976645TotalAssetsBOY
Total Assets EOY3655687TotalAssetsEOY
Total Liabilities BOY3684922TotalLiabilitiesBOY
Total Liabilities EOY1646874TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1291723NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2008813NetAssetsOrFundBalancesEOY
Mission DescriptionTO FACILITATE THE LICENSURE PROCESS FOR CANDIDATES AND ELIMINATE THE NEED FOR REPETITION OF STATE BOARD CLINICAL EXAMINATIONS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE NERB DEVELOPS, ADMINISTERS, SCORES, AND REPORTS THE RESULTS OF CLINICAL EXAMS FOR CANDIDATES FOR LICENSURE IN DENTISTRY AND DENTAL HYGIENE.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096759NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3015633300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11304 CONCOURSE DRIVE NO 100AddressLine1
CityLINTHICUMCity
StateMDState
ZIP Code21090ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID W PERKINS DMD
VICE CHAIRMAN10.00XX4258100
FRANK C WILLIAMS DDS
MEMBER-AT-LARGE5.00X2800000
JOHN IACONO DDS
MEMBER-AT-LARGE5.00X1969100
GUY S SHAMPAINE DDS
CHAIRMAN40.00XX4110300
LEEANN PODRUCH DDS
SECRETARY20.00XX4848100
MYRON ALLUKIAN JR DDS
TREASURER10.00XX3173100
CYNTHIA FONG RDH
MEMBER-AT-LARGE5.00X930000
SUSAN PRITZEL
MEMBER-AT-LARGE5.00X2150000
MARK ARMSTRONG
MEMBER-AT-LARGE5.00X1420000
JOHN V REITZ DMD
MEMBER-AT-LARGE5.00X105000
JACK FELDESMAN
DIRECTOR OF FINANCE AND AD40.0013452501800X
ELLIS H HALL DDS
DIRECTOR OF EXAMINATIONS40.00156271011568X
MICHAEL ZEDER
DIRECTOR OF INFORMATION TE40.00130015029148X
RONALD R CHENETTE
EXECUTIVE DIRECTOR40.001010390900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org779487TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation43416TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROMETRIC
PO BOX 223608PITTSBURGHPA15251COMPUTER-BASED TESTING639561
BRIGHTLINK TECHNOLOGY LLC
502 BAMBAY LANEROSWELLGA30076ELECTRONIC SCORING AND ADMINISTRATION150629
GOHN HANKEY & STICHEL LLP
201 NORTH CHARLES STREETBALTIMOREMD21201PROFESSIONAL LEGAL SERVICES103525
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionEXAMINATION FEESDescription
Business Code900099BusinessCode
Total Revenue Column9519550TotalRevenueColumn
Related Or Exempt Function Income9519550RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9519550TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28911TotalRevenueColumn
Exclusion$28,911ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other387739Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-387739Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-387739TotalRevenueColumn
Related Or Exempt Function Income-387739RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9160722TotalRevenueColumn
Related Or Exempt Function Income9131811RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$28,911ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total203811Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total269965Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total801201Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total19651Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total100019Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total73519Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total114764Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40150Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3388770Total

Advertising Advertising

FieldValueIRS element (for citing)
Total2140Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total272034Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27838Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total238141Total

Travel Travel

FieldValueIRS element (for citing)
Total2452593Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total225205Total

Insurance Insurance

FieldValueIRS element (for citing)
Total84074Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
MISCELLANEOUS70064
TEST ADMINISTRATION MAT18446
TAXES AND LICENSES17370
PHOTOGRAPHY14586

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9291Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8443632Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY927087BOY
EOY225656EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1602969BOY
EOY727048EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45418BOY
EOY9952EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY183580BOY
EOY135615EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis628100LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec433457LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY383481BOY
EOY194643EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1674945BOY
EOY2214375EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY133000BOY
EOY133000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26165BOY
EOY15398EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4976645BOY
EOY3655687EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY478922BOY
EOY348232EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3150537BOY
EOY1170437EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY55463BOY
EOY128205EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3684922BOY
EOY1646874EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1291723BOY
EOY2008813EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1291723BOY
EOY2008813EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4976645BOY
EOY3655687EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses717090ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis145810OtherCostOrOtherBasis
Depreciation9257Depreciation
Book Value136553BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis482290OtherCostOrOtherBasis
Depreciation424200Depreciation
Book Value58090BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings194643TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$102,336
CAPITAL LEASE OBLIGATION$25,869
FieldValueIRS element (for citing)
Total Of Amounts128205TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt9548461TotRevenueEtcAuditedFinclStmt
Other Revenues387739OtherRevenues
Revenue Not Rptd F990387739RevenueNotRptdF990
Revenue Subtotal9160722RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909160722TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8831371TotExpensesEtcAuditedFinclStmt
Other Expenses Included387739OtherExpensesIncluded
Expenses Not Rptd F990387739ExpensesNotRptdF990
Expenses Subtotal8443632ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908443632TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE BOARD FOLLOWS THE FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION (FASB ASC), WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. AS OF YEAR END, THE BOARD HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN ITS FINANCIAL STATEMENTS. THE BOARD'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON TAX POSITIONS RELATED TO ITS UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE RECORDED DURING THE YEAR. GENERALLY, THE TAX YEARS FOR THE LAST THREE YEARS ARE SUBJECT TO EXAMINATION BY FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON ASSETS DISPOSAL 387,739.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON ASSETS DISPOSAL 387,739.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1AMERICAN BOARD OF DENTAL EXAMINERSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 8733AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972071104ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient202185082EINOfRecipient
IRC Section501(C)3IRCSection
Amount Of Non Cash Assistance203811AmountOfNonCashAssistance
Method Of ValuationCASHMethodOfValuation
Purpose Of GrantTO FORM A NAT'L EXAM FOR CLINICAL COMPETENCE FOR DENTISTRY AND DENTAL HYGIENE LICENSURE CANDIDATESPurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ELLIS H HALL DDS
DIRECTOR OF EXAMINATIONS1562710000000115680167839000
MICHAEL ZEDER
DIRECTOR OF INFORMATION TE1300150000000291480159163000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THERE ARE FIVE CLASSES OF MEMBERS: ACTIVE (VOTING), CONSULTANT, EMERITUS, HONORARY, AND ASSOCIATE AGENCY.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE ORGANIZATION ELECT THE MEMBERS OF THE BOARD OF DIRECTORS, WHICH HAS THE POWER TO ESTABLISH RULES AND REGULATIONS TO GOVERN THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY INCLUDING THE ANNUAL BUDGET.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 CAN BE REVIEWED BY EACH MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS DEVELOPED A METHOD TO CHECK ON ANY CONFLICT OR POTENTIAL CONFLICT OF INTEREST OF ANY OF ITS MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION FOR THIS INDIVIDUAL IS REVIEWED AND ESTABLISHED BY THE BOARD OF DIRECTORS AND COMPARATIVE DATA (I.E., SALARY DATA FROM THE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES AND USING THE EXECUTIVE COMPENSATION ASSESSOR FROM THE ECONOMIC RESEARCH INSTITUTE, INC.) IS USED.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GHONORARIA: TOTAL EXPENSES 1,778,348. TEST ADMINISTRATION EXPENSE: TOTAL EXPENSES 969,865. CALIBRATION: TOTAL EXPENSES 510,961. EXAM ASSISTANT: TOTAL EXPENSES 75,377. PROCTOR FEES : TOTAL EXPENSES 34,331. CONSULTANT - EXAMINATION AND CALIBRATION: TOTAL EXPENSES 14,767. PAYROLL SERVICE FEES: TOTAL EXPENSES 5,121.OTHER FEES
THERE WERE NO CHANGES.