WISCONSIN DENTAL ASSOCIATION FOUNDATION INC: Form 990, tax year 2012
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- Organization
- WISCONSIN DENTAL ASSOCIATION FOUNDATION INC (EIN 39-0965289)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-15
- IRS object ID
- 201341359349301184
- 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 | 2013-05-15T09:06:05-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8215 GREENWAY BOULEVARD SUITE 600 | AddressLine1 |
| City | MIDDLETON | City |
| State | WI | State |
| ZIP Code | 53562 | 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 | 390965289 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISCONSIN DENTAL ASSOCIATION FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WISC | NameControl |
| Phone | 4142764520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6737 W WASHINGTON STREET NO 2360 | AddressLine1 |
| City | WEST ALLIS | City |
| State | WI | State |
| ZIP Code | 53214 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK PAGET | Name |
| Title | SECRETARY | Title |
| Phone | 4142764520 | Phone |
| Date Signed | 2013-05-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY ANDERSON CPA | Name |
| PTIN | P00188889 | PTIN |
| Phone | 6086628600 | Phone |
| Date Prepared | 2013-05-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VICTORIA BOHMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6737 W WASHINGTON STREET NO 2360 | AddressLine1 |
| City | WEST ALLIS | City |
| State | WI | State |
| ZIP Code | 53214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 502563 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WDA.ORG/WDA-FOUNDATION | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3 | TotalNbrEmployees |
| Total Nbr Volunteers | 2360 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 413071 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 403460 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 53815 | InvestmentIncomePriorYear |
| Investment Income Current Year | 59064 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 25688 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19337 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 492574 | TotalRevenuePriorYear |
| Total Revenue Current Year | 481861 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 59679 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 61885 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 97399 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 104945 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3158 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 224320 | OtherExpensePriorYear |
| Other Expenses Current Year | 277475 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 381398 | TotalExpensesPriorYear |
| Total Expenses Current Year | 444305 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 111176 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 37556 | RevenuesLessExpensesCY |
| Total Assets BOY | 2234807 | TotalAssetsBOY |
| Total Assets EOY | 2395791 | TotalAssetsEOY |
| Total Liabilities BOY | 9852 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21195 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2224955 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2374596 | NetAssetsOrFundBalancesEOY |
| Mission Description | SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 83465 | Expense |
| Description | DONATED DENTAL SERVICES - PROVIDED DENTAL SERVICES VALUED AT $829,898 FOR DENTAL TREATMENT OF DISABLED, ELDERLY AND MEDICALLY-COMPROMISED INDIVIDUALS WHO COULD NOT AFFORD THE DENTAL CARE NEEDED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 224718 | Expense |
| Description | PROVIDED FREE DENTAL CARE TO 3,595 UNINSURED, LOW-INCOME INDIVIDUALS VALUED AT $1,750,000 OVER A TWO-DAY PERIOD IN MADISON, WI. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 61885 | Expense |
| Grants | 61885 | Grants |
| Description | ENHANCES EDUCATIONAL OPPORTUNITIES BY AWARDING SCHOLARSHIPS TO DENTAL AND DENTAL HYGIENE STUDENTS IN THE STATE OF WISCONSIN AND PROVIDED GRANTS IN SUPPORT OF STATEWIDE COMMUNITY DENTAL HEALTH PROJECTS AND CLINICS WHERE DENTAL CARE IS PROVIDED TO THE LOW INCOME POPULATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 370068 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 26 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLY SICS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4147554102 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6737 W WASHINGTON STREET | AddressLine1 |
| City | WEST ALLIS | City |
| State | WI | State |
| ZIP Code | 53214 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| DR ANTHONY SCIASCIA | ||||||
| PRESIDENT | 3.00 | X | X | 0 | 0 | 0 |
| DR LOREN SWANSON | ||||||
| VICE PRESIDENT | 1.50 | X | X | 0 | 0 | 0 |
| DR CHRISTINE TEMPAS | ||||||
| TREASURER | 1.50 | X | X | 0 | 0 | 0 |
| MR MARK PAGET | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| DR PAUL OBERBRECKLING | ||||||
| PAST PRESIDENT | 1.50 | X | X | 0 | 0 | 0 |
| DR TIMMY COOPER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR JULIE FOX | ||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | |
| DR JOHN SADOWSKI | ||||||
| DIRECTOR | 0.40 | X | 0 | 0 | 0 | |
| DR PETER STEINERT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR JAMES VAN MILLER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DR RON STIFTER | ||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |
| DR JAMES MORGENROTH | ||||||
| DIRECTOR | 3.00 | X | 0 | 0 | 0 | |
| DR SUSAN CABLE | ||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |
| DR FRANCESCA DE ROSE | ||||||
| DIRECTOR | 0.40 | X | 0 | 0 | 0 | |
| DR ROBB WARREN | ||||||
| DIRECTOR | 0.40 | X | 0 | 0 | 0 | |
| MR PAUL BATELY | ||||||
| MEMBER AT-LARGE | 0.30 | X | 0 | 0 | 0 | |
| MR DAVE C WAGNER | ||||||
| MEMBER AT-LARGE | 0.40 | X | 0 | 0 | 0 | |
| DR JOHN MOSER | ||||||
| WDA TREASURER | 0.30 | X | 0 | 0 | 0 | |
| DR ROGER COMEAU | ||||||
| DIRECTOR EMERITUS | 1.00 | X | 0 | 0 | 0 | |
| MR DENNIS MCGUIRE | ||||||
| DIRECTOR EMERITUS | 1.00 | X | 0 | 0 | 0 | |
| JEANNE RUDE | ||||||
| MEMBER AT-LARGE | 1.00 | X | 0 | 0 | 0 | |
| VICTORIA BOHMAN | ||||||
| EXECUTIVE DIRECTOR | 30.00 | X | 42447 | 0 | 4227 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 42447 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 4227 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 56209 | GovernmentGrants |
| All Other Contributions | 347251 | AllOtherContributions |
| Total Contributions | 403460 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59064 | TotalRevenueColumn |
| Exclusion | $59,064 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 40039 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 20702 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19337 | TotalRevenueColumn |
| Exclusion | $19,337 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 481861 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $78,401 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48885 | Total |
| Program Services | 48885 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13000 | Total |
| Program Services | 13000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46724 | Total |
| Management And General | 46724 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47979 | Total |
| Program Services | 47432 | ProgramServices |
| Management And General | 547 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3223 | Total |
| Program Services | 3223 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119 | Total |
| Program Services | 119 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6900 | Total |
| Program Services | 3437 | ProgramServices |
| Management And General | 3463 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8000 | Total |
| Management And General | 8000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11700 | Total |
| Program Services | 11500 | ProgramServices |
| Management And General | 200 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Management And General | 1000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94273 | Total |
| Program Services | 85458 | ProgramServices |
| Management And General | 6215 | ManagementAndGeneral |
| Fundraising | 2600 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112457 | Total |
| Program Services | 109817 | ProgramServices |
| Management And General | 2640 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8022 | Total |
| Program Services | 7443 | ProgramServices |
| Management And General | 355 | ManagementAndGeneral |
| Fundraising | 224 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4174 | Total |
| Program Services | 2911 | ProgramServices |
| Management And General | 929 | ManagementAndGeneral |
| Fundraising | 334 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 908 | Total |
| Program Services | 667 | ProgramServices |
| Management And General | 241 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 390 | Total |
| Management And General | 390 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MISCELLANEOUS | 36176 | 36176 | |
| REGISTRATION | 375 | 375 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 444305 | Total |
| Program Services | 370068 | ProgramServices |
| Management And General | 71079 | ManagementAndGeneral |
| Fundraising | 3158 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50268 | BOY |
| EOY | 65977 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320970 | BOY |
| EOY | 280330 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26209 | BOY |
| EOY | 88344 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36406 | BOY |
| EOY | 31560 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73680 | BOY |
| EOY | 35100 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 15483 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15001 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667 | BOY |
| EOY | 482 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1722654 | BOY |
| EOY | 1893910 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3953 | BOY |
| EOY | 88 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2234807 | BOY |
| EOY | 2395791 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9435 | BOY |
| EOY | 7692 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 417 | BOY |
| EOY | 13503 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9852 | BOY |
| EOY | 21195 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1935230 | BOY |
| EOY | 2075917 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289725 | BOY |
| EOY | 298679 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2224955 | BOY |
| EOY | 2374596 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2234807 | BOY |
| EOY | 2395791 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 37556 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 112085 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 Minus4 Years | 265597 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 266388 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 408538 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 413711 | CurrentTaxYearMinus1Year |
| Current Tax Year | 403460 | CurrentTaxYear |
| Total | 1757694 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 265597 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 266388 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 408538 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 413711 | CurrentTaxYearMinus1Year |
| Current Tax Year | 403460 | CurrentTaxYear |
| Total | 1757694 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 267390 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1490304 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38172 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2984 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24907 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47694 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59064 | CurrentTaxYear |
| Total | 172821 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1930515 | TotalSupport |
| Public Support Pertcentage170 | 0.77200 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.79190 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15483 | OtherCostOrOtherBasis |
| Depreciation | 15001 | Depreciation |
| Book Value | 482 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 482 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 614648 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 112085 | NetUnrealizedGainsInvestments |
| Other Revenues | 20702 | OtherRevenues |
| Revenue Not Rptd F990 | 132787 | RevenueNotRptdF990 |
| Revenue Subtotal | 481861 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 481861 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 465007 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 20702 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 20702 | ExpensesNotRptdF990 |
| Expenses Subtotal | 444305 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 444305 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 20,702. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 20,702. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 40039 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 40039 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 1389 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 19313 | RentFacilityCostsEvent1 |
| Gross Receipts Total | 40039 | GrossReceiptsTotal |
| Gross Revenue Total Events | 40039 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 1389 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 19313 | RentFacilityCostsTotalEvents |
| Direct Expense Summary Events | 20702 | DirectExpenseSummaryEvents |
| Net Income Summary | 19337 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | EDUCATIONAL SCHOLARSHIPS FOR DENTAL AND DENTAL HYGIENE STUDENTS | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 13000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: RECIPIENTS FORWARD COPIES OF PAID RECEIPTS INCURRED FOR EXPENSES ASSOCIATED WITH THE GRANT TO BE RECEIVED. GRANT PAYMENTS MADE AFTER REVIEW OF THESE DOCUMENTS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE DRAFT OF THE 990 IS REVIEWED IN PERSON WITH THE ENTIRE BOARD BEFORE IT IS FILED. THE ORGANIZATION'S CPA FIRM WALKS THE BOARD THROUGH THE RETURN AT THE APRIL BOARD MEETING EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE ASKED AT EACH MEETING IF THEY HAVE A CONFLICT WITH ANY ISSUE ON THE AGENDA. |
| FORM 990, PART VI, SECTION B, LINE 15A | MARK PAGET, SECRETARY, AND KELLY SICS, DIRECTOR OF FINANCE, DETERMINE THE SALARY OF THE EXECUTIVE DIRECTOR. THIS SALARY IS LATER APPROVED BY THE ENTIRE BOARD IN CONJUNCTION WITH THE APPROVAL OF THE BUDGET. COMPARABLE WAGE DATA IS OBTAINED FROM AN INDEPENDENT FIRM SPECIALIZING IN HUMAN RESOURCES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |