2012-05-30T14:40:44-04:00 2011-12-31 KPMG LLP 191 WEST NATIONWIDE BLVD STE 500 COLUMBUS OH 432152568 990 2011-01-01 366132046 ADA Foundation % CYNTHIA FRONCZAK ADAF 3124403534 211 East Chicago Avenue Chicago IL 606112637 CYNTHIA FRONCZAK 2012-05-30 true 6142492300 2011 2016-02-24 21:20:13Z Cynthia Fronczak 211 EAST CHICAGO AVENUE CHICAGO IL 606112637 9698461 false X www.adafoundation.org X 1965 IL ADA FOUNDATION IS A CATALYST FOR UNITING PEOPLE AND ORGANIZATIONS TO MAKE A DIFFERENCE THROUGH BETTER ORAL HEALTH. 20 17 35 44 0 0 5702157 5292033 62400 31578 433369 573076 1851733 1614802 8049659 7511489 899647 1557866 0 0 4849411 3607052 116667 0 0 2804530 2630198 8670255 7795116 -620596 -283627 27155765 23259667 2882145 456213 24273620 22803454 X AS DENTISTRY'S PREMIER PHILANTHROPIC AND CHARITABLE ORGANIZATION, THE ADA FOUNDATION IS A CATALYST FOR UNITING PEOPLE AND ORGANIZATIONS TO MAKE A DIFFERENCE THROUGH BETTER ORAL HEALTH. WE SECURE CONTRIBUTIONS AND PROVIDE GRANTS FOR SUSTAINABLE PROGRAMS IN DENTAL RESEARCH, EDUCATION, ACCESS TO CARE AND ASSISTANCE FOR DENTISTS AND THEIR FAMILIES IN NEED. false false 3761184 5970 1630887 PERFORM RESEARCH ACTIVITIES TO ENCOURAGE THE IMPROVEMENT OF THE HEALTH OF THE PUBLIC & TO PROMOTE THE ART AND SCIENCE OF DENTISTRY. 2231440 1462995 0 PROVIDE FUNDS TO EDUCATIONAL INSTITUTES AND OTHER ENTITIES TO ADVANCE DENTAL RESEARCH AND EDUCATIONAL PROGRAMS AND SUPPORT NATIONAL AND REGIONAL DENTAL ACCESS PROGRAMS TO MAKE DENTAL CARE AVAILABLE TO THE UNDERSERVED. 241804 88901 0 PROVIDE CHARITABLE ASSISTANCE FOR DENTISTS AND THEIR FAMILIES IN NEED. THIS INCLUDES PROVIDING RELIEF GRANTS TO AID MEMBERS OF THE DENTAL PROFESSION AND THEIR DEPENDENTS WHO, BECAUSE OF AGE OR OTHER DISABLING CONDITIONS ARE NOT WHOLLY SELF-SUSTAINING, AND DISASTER GRANTS. 0 0 0 6234428 true true false false false false false false true true false false false true true true true false false false false false false true false false true true true false false false false false false false false false false false false false true false false true false true 21 0 true 35 true true true false false false false true true false false false false X 20 17 false false false false true true true true true false false false true true true true true true false false AL AK AZ AR CA CO CT DC FL GA IL KS KY MD MA MI MN MO NH NJ NM NY NC ND OH OK OR PA SC TN UT VA WA WV WI X CYNTHIA FRONCZAK 3125874717 211 EAST CHICAGO AVENUE Chicago IL 606112637 X Dr Orin Ellwein 1.0 X X Dr Robert Henderson 1.0 X X Mr Kent Fletcher 1.0 X Dr Ernest Garcia 1.0 X Dr Richard Simms 1.0 X X Ms Sheila Hopkins 1.0 X Mr Timothy Sullivan 1.0 X Dr Leo Rouse 1.0 X Dr R Wayne Thompson 1.0 X 0 45415 0 Dr Jane S Grover 1.0 X Dr Donald Seago 1.0 X 0 64291 0 Dr Charles L Smith 1.0 X Dr Lewis C Walker 1.0 X Dr Linda Niessen 1.0 X MR PAUL D CHIBE 1.0 X DR STEVEN GOUNARDES 1.0 X 0 60031 0 DR MICHAEL RETHMAN 1.0 X X 975 0 0 MR RONALD SZARYNSKI 1.0 X X MS PAMELA ZARKOWSKI 1.0 X X DR CHARLES H NORMAN 1.0 X 0 61673 0 Dr Ronald Bushick 1.0 X Ms Pam Hemmen 1.0 X Dr Fotinos Panagakos 1.0 X Ms Candy Ross 1.0 X Dr J Leslie Winston 1.0 X Dr Gary S Yonemoto 1.0 X DR DAVID A WHISTON 5.0 X 1350 0 0 GENE WURTH 40.0 X 139830 0 9244 CYNTHIA FRONCZAK 40.0 X 7324 0 0 DR GARY SCHUMACHER 40.0 X 162230 0 5700 DR RAFAEL BOWEN 40.0 X 184213 0 19732 DR LAWRENCE CHOW 40.0 X 130427 0 20232 DR GERARD VOGEL 40.0 X 136295 0 10814 DR MING TUNG 40.0 X 123060 0 12246 DR DRAGO SKRTIC 40.0 X 119555 0 7675 1005259 231410 85643 10 false true false BANNER WITCOFF LTD 10 S WACKER DRIVE CHICAGO IL 60606 LEGAL 318565 BLACKMAN KALLICK PROJECTEMPS LLC 10 S RIVERSIDE CHICAGO IL 60606 EXEC TEMP SVC 307848 TATUM LLC 3715 Northside Parkway ATLANTA GA 30308 CONSULTANTS 260808 KPMG LLP 3 Chestnut Ridge Road MONTVALE NJ 07645 AUDIT 167689 Emmett Murphy 4507 Cornell Ave DOWNERS GROVE IL 60515 INTERIM CFO 149700 10 3925382 999932 366719 5292033 RESEARCH CONFERENCES 541900 30780 30780 PUBLICATION AND PRODUCT SALES 900099 798 798 31578 372143 372143 0 1599309 1599309 2288837 2087904 200933 200933 200933 97600 99068 -1468 -1468 0 0 MISCELLANEOUS INCOME 900099 12961 12961 HONORARIA 900099 4000 4000 16961 7511489 1630887 0 588569 1033965 1033965 523901 523901 0 0 311708 195249 116459 0 2048123 1488646 559477 602026 426786 175240 486568 344936 141632 158627 112453 46174 908734 402543 506191 416068 416068 130618 130618 0 0 15515 15515 0 3010 3010 140433 140433 0 0 234 234 157117 157117 0 21065 21065 0 0 207765 207765 22957 22957 INDIRECT COSTS 300143 300143 INVENTOR'S SHARE OF ROYALTIES 242275 242275 OTHER EXPENSES 64264 64264 7795116 6234428 1560688 0 984272 130118 0 0 6604 35960 896022 640447 0 0 0 0 6000 0 0 0 32957 7576 2542827 2193075 557516 349752 24672394 21869595 0 0 0 0 0 0 0 226219 27155765 23259667 991194 352776 174890 0 47910 5000 0 0 0 0 0 0 0 0 0 0 1668151 98437 2882145 456213 X 12409999 12482307 9724779 8182305 2138842 2138842 24273620 22803454 27155765 23259667 X -283627 -1186539 X false true true X true true X 7717109 7591699 6234930 5702157 5292033 32537928 1372933 1831744 1842145 1883656 1630887 8561365 9090042 9423443 8077075 7585813 6922920 41099293 3435452 3233193 2918828 3691640 3925382 17204495 3435452 3233193 2918828 3691640 3925382 17204495 23894798 656520 569850 4440965 428567 372143 6468045 656520 569850 4440965 428567 372143 6468045 45545 19948 64568 7493 16961 154515 9792107 10013241 12582608 8021873 7312024 47721853 0.50071 0.54290 0.13554 0.12960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2390453 -52824 61692 1278 2274659 2108095 305 283007 954 2390453 1910954 -289289 487518 1088 2108095 2885412 18142 -885993 106607 1910954 0.00000 0.94029 0.05971 false false 2542827 2193075 349752 349752 0 DUE TO RELATED ORGANIZATIONS 0 DUE TO CONSTITUENT SOCIETIES 8205 CHARITY GIFT ANNUITY PAYABLE 90232 98437 7511489 7795116 -283627 -1186539 -1186539 -1470166 6420018 -1186539 -1186539 7606557 -95068 -95068 7511489 7890184 95068 95068 7795116 7795116 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE FOUNDATION'S ENDOWMENTS CONSIST OF VARIOUS FUNDS TO SUPPORT ACCESS TO CARE AND EDUCATIONAL ACTIVITIES. NET ASSETS RELATED TO THE FOUNDATION ENDOWMENTS ARE DONOR-RESTRICTED FUNDS, CLASSIFIED AND REPORTED BASED UPON THE DONOR-IMPOSED RESTRICTIONS. Part XII, Line 4b Reclass of Special Event expense (99,068) Reclass of Fundraising expense 4,000 Reclass of Honoraria Income (95,068) Total Part XIII, Line 2d Reclass of Special Event expense 99,068 Reclass of Fundraising expense 4,000 Reclass of Honoraria Income 95,068 Total Part X, Line 2 Tax Status and Accounting for Uncertainty in Income Taxes The Foundation is an Illinois not for profit corporation recognized as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code (Code) as an organization described in Section 501(c)(3) of the Code. The Foundation received a favorable determination letter from the Internal Revenue Service on September 4, 1997 stating that it is exempt from taxation on income related to its exempt purpose. ASC Topic 740, Accounting for Uncertainty in Income Taxes, clarifies the accounting for uncertainty in income taxes recognized in the financial statements and established recognition and measurement criteria for tax positions taken in a tax return. The adoption of the provisions of ASC topic 740 did not impact the Foundation's financial position or results of operations. There was no significant unrelated business income in 2011 and 2010, and therefore, no provision for income taxes has been recorded. KETCHUM INC nka Pursuant Grou INNOVATION CAMPAIGN false Kids Smile Gala 97600 97600 31547 1225 66296 0 97600 97600 31547 1225 66296 99068 -1468 true UNIVERSITY OF ILLINOIS 506 S WRIGHT STREET 177 HENRY ADMINISTRATION BLDG URBANA IL 61801 376006007 501(c)(3) 6000 PUBLIC SUPPORT TEAM SMILE INC 2000 SWIFT ST NORTH KANSAS CITY MO 64116 753250075 501(c)(3) 6250 PUBLIC SUPPORT NATIONAL ASSOCIATION OF SCHOOL NURSES 8484 GEORGIA AVENUE SUITE 420 SILVER SPRING MD 20910 520886492 501(c)(3) 6250 PUBLIC SUPPORT VIRGINIA BROWN COMM ORTHODONTIC PTNSHP 2405 GRAND KANSAS CITY MO 64108 431913088 501(c)(3) 6250 PUBLIC SUPPORT UNIVERSITY OF MARYLAND 2242G BLDG 255 COLLEGE PARK MD 207422611 522197313 501(c)(3) 6250 PUBLIC SUPPORT HEALTH VOLUNTEERS OVERSEAS 1900 L STREET NW SUITE 310 WASHINGTON DC 20036 521485477 501(c)(3) 11700 PUBLIC SUPPORT BETHANY FOR CHILDREN AND FAMILIES 1830 6TH AVENUE MOLINE IL 61265 362166973 501(c)(3) 25000 PUBLIC SUPPORT VIRGINIA DENTAL HEALTH FOUNDATION 3460 Mayland CT STE 10 RICHMOND VA 23233 541821602 501(c)(3) 18750 PUBLIC SUPPORT AMERICAN ACADEMY OF PEDIATRICS 141 NW POINT BLVD ELK GROVE VILL IL 60007 362275597 501(c)(3) 61031 PUBLIC SUPPORT HENRY SCHEIN CARES FOUNDATION INC 135 DURYEA ROAD MELVILLE NY 11747 264137268 501(c)(3) 421500 PUBLIC SUPPORT AMERICAN DENTAL ASSOCIATION 211 EAST CHICAGO AVENUE CHICAGO IL 606112678 360724690 501(C)(6) 343700 PUBLIC SUPPORT 10 1 DISASTER FUND 54 270000 SCHOLARSHIPS 59 102500 MINORITY SCHOLARSHIPS 25 62500 RELIEF FUND 20 88901 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANTS GRANTEES MUST SIGN A GRANT TERMS AGREEMENT WHICH SPECIFIES THEIR ACCEPTANCE OF THE GRANT AND OUTLINES GRANT USE REQUIREMENTS. FURTHER, GRANTEES MUST COMPLETE A FINAL REPORT FORM THAT SUMMARIZES THE PROJECT WITH A NARRATIVE DESCRIPTION, LISTS OBJECTIVES ACHIEVED AND HOW THOSE ACHIEVEMENTS WERE MEASURED, ALONG WITH THE ESTIMATED NUMBER OF PEOPLE SERVED, THE ESTIMATED NUMBER OF VOLUNTEERS USED, AND HOW THE GRANT FUNDS WERE EXPENDED. X X false false false false false false false false false DR RAFAEL BOWEN 176351 0 0 0 7862 0 0 0 19732 0 203945 0 0 0 DR LAWRENCE CHOW 128471 0 0 0 1956 0 500 0 19732 0 150659 0 0 0 DR GARY SCHUMACHER 160324 0 0 0 1906 0 500 0 5200 0 167930 0 0 0 FORM 990, SCHEDULE J, PART II DEFERRED COMPENSATION IN COLUMN C INCLUDES, WHERE APPLICABLE, THE 2010 INCREASE IN ACTUARIAL VALUE OF THE DEFINED BENEFIT PLAN AND EMPLOYER CONTRIBUTIONS TO THE 401(K) DEFINED CONTRIBUTION PLAN. NONTAXABLE BENEFITS IN COLUMN D INCLUDES EMPLOYER-PAID HEALTH BENEFIT PLAN PREMIUMS AND THE VALUE OF EMPLOYER SELF-INSURED DENTAL BENEFITS. FORM 990, PART VI, LINE 1B INDEPENDENT VOTING MEMBERS SOME OF THE MEMBERS OF THE ADA FOUNDATION BOARD OF DIRECTORS ARE NOT CONSIDERED INDEPENDENT BECAUSE THEY RECEIVE REIMBURSEMENT FROM THE AMERICAN DENTAL ASSOCIATION OF STATED AMOUNTS ON AN ANNUAL BASIS FOR SUCH GENERAL EXPENSES AS POSTAGE, TELEPHONE AND SECRETARIAL ASSISTANCE. SUBSTANTIATION OF SUCH EXPENSES IS NOT REQUIRED FOR REIMBURSEMENT. THESE AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE RECIPIENTS. ADDITIONALLY, THERE IS A DIFFERENCE IN VOTING RIGHTS. THE FOUNDATION'S PRESIDENT ONLY VOTES ON AN ISSUE IF THE BOARD MEMBERS' VOTE RESULTS IN A TIE. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE AMERICAN DENTAL ASSOCIATION IS THE SOLE MEMBER OF THE ADA FOUNDATION. FORM 990 , PART VI , LINE 7A ELECTIONS OF THE GOVERNING BODY THE MEMBER ELECTS FOUR MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 11B FORM 990 REVIEW THE FORM 990 WAS REVIEWED BY MANAGEMENT PRIOR TO FILING. FINANCIAL INFORMATION WAS COMPARED TO THE ORGANIZATION'S BOOKS AND RECORDS. RESPONSES TO QUESTIONS AND ADDITIONAL INFORMATION WERE REVIEWED FOR APPROPRIATENESS. ADDITIONALLY, THE FORM 990 WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A COPY OF THE FORM 990 WILL BE SENT TO ALL BOARD MEMBERS AFTER FILING. FORM 990, PART VI LINE 12C CONFLICT OF INTEREST POLICY THERE IS AN ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS AND EXECUTIVE EMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST DISCLOSURE FORM EACH YEAR. IN-HOUSE LEGAL COUNSEL COLLECTS AND REVIEWS RESPONSES AND DETERMINES NECESSARY ACTION, IF ANY. INDIVIDUALS WHO HAVE A DISCLOSED CONFLICT RECUSE THEMSELVES FROM DISCUSSION, AND DO NOT VOTE IF THERE IS A DIRECT CONFLICT. FORM 99O, PART VI, LINE 15B PROCESS FOR DETERMINING COMPENSATION The ADA Foundation was managed by interim staff for the first six months of 2011 until a new Executive Director was hired in July of 2011. The Executive Committee of the Board of Directors, acting as the Compensation Committee, determined the compensation of the Executive Director by reviewing comparability data for organizations of similar size, complexity, and the like. FORM 990, PART VI, LINE 19 ORGANIZATION DOCUMENTS THE ADA FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 5 UNREALIZED LOSS ON INVESTMENTS (1,186,539) FORM 990, PART VI, LINE 7B The Bylaws of the Foundation provide that the Member has the right to vote on the following: Amendment or repeal of the Articles of Incorporation of the Foundation; Any amendment of the Bylaws that would change any of the rights of the Member, including the right to elect the ADA Directors; The election and removal of ADA Directors; the removal of directors as provided in 805 ICLS 105/108.35(d) of the Illinois Not For Profit Corporation Act; Any merger of the Foundation; The dissolution of the Foundation The disposition of all or substantially all of the assets of the Foundation FORM 990, PART VII Dr. David Whiston is the president of the organization. The president is not a standing voting director of the board of directors. The president only votes if there is a tie. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dr. R. Wayne Thompson TITLE:Director HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dr. Donald Seago TITLE:Director HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. STEVEN GOUNARDES TITLE:DIRECTOR HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. CHARLES H. NORMAN TITLE:DIRECTOR HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dr. Gary S. Yonemoto TITLE:Director HOURS:10 AMERICAN DENTAL ASSOCIATION 211 E CHICAGO AVE CHICAGO IL 60611 360724690 TRADE ASSOC. IL 501(C)(6) NONE NA ADA BUSINESS ENTERPRISES INC 211 E CHICAGO AVE CHICAGO IL 606112637 363679743 FIN. SERVICES IL ADA C CORP 0 0 0.00000 false true true false false false false false false false true true true false true false true false AMERICAN DENTAL ASSOCIATION C 3925382 AMERICAN DENTAL ASSOCIATION O 773592 AMERICAN DENTAL ASSOCIATION Q 300143 AMERICAN DENTAL ASSOCIATION L, M 912987 AMERICAN DENTAL ASSOCIATION B 343700 AMERICAN DENTAL ASSOCIATION K 12135 SCHEDULE R, PART V, LINE 2 The Foundation receives in-house legal, accounting, financial, and administrative services from the American Dental Association. As it relates specifically to federal grants, services provided from American Dental Association for indirect overhead were reimbursed in the amount of $300,143 from the Foundation. Additional services were provided by american dental association to the foundation that were not related to the federal grants, which was not reimbursed. in 2011, the value of these services was estimated at $881,058.