STRATEGY STUDIO / PUBLIC DATA EXPLORER

WISCONSIN DENTAL ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN DENTAL ASSOCIATION INC (EIN 39-0716117)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201222289349301412
Schema version
2011v1.2
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)
Timestamp2012-08-15T09:00:18-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1
CityMIDDLETONCity
StateWIState
ZIP Code53562ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390716117EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWISCNameControl
Phone4142764520Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
Address Line22360AddressLine2
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK PAGETName
TitleSECRETARYTitle
Phone4142764520Phone
Date Signed2012-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIMBERLY ANDERSON CPAName
PTINP00188889PTIN
Phone6086628600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PAGETNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
Address Line22360AddressLine2
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3057036GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WDA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1870YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionADVANCE THE INTERESTS OF WDA MEMBERS AND THE DENTAL PROFESSION BY PROMOTING PROFESSIONAL EXCELLENCE AND QUALITY ORAL HEALTH CARE FOR THE PUBLIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees21TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI278331TotalGrossUBI
Net Unrelated Business Txbl Income46251NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year315300ContributionsGrantsPriorYear
Contributions Grants Current Year360488ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2219275ProgramServiceRevenuePriorYear
Program Service Revenue CY2242478ProgramServiceRevenueCY
Investment Income Prior Year25106InvestmentIncomePriorYear
Investment Income Current Year47699InvestmentIncomeCurrentYear
Other Revenue Prior Year355877OtherRevenuePriorYear
Other Revenue Current Year406371OtherRevenueCurrentYear
Total Revenue Prior Year2915558TotalRevenuePriorYear
Total Revenue Current Year3057036TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1249322SalariesEtcPriorYear
Salaries Etc Current Year1286732SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1696832OtherExpensePriorYear
Other Expenses Current Year1807119OtherExpensesCurrentYear
Total Expenses Prior Year2946154TotalExpensesPriorYear
Total Expenses Current Year3093851TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-30596RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-36815RevenuesLessExpensesCY
Total Assets BOY6313421TotalAssetsBOY
Total Assets EOY6273860TotalAssetsEOY
Total Liabilities BOY2046719TotalLiabilitiesBOY
Total Liabilities EOY1995843TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4266702NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4278017NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionADVANCE THE INTERESTS OF WDA MEMBERS AND THE DENTAL PROFESSION BY PROMOTING PROFESSIONAL EXCELLENCE AND QUALITY ORAL HEALTH CARE FOR THE PUBLIC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionWDA AND ITS MEMBERS ARE COMMITTED TO PROMOTING PROFESSIONAL EXCELLENCE AND QUALITY ORAL HEALTH CARE. WDA SERVED MEMBERS BY PROVIDING PROGRAMS AND SERVICES THAT ITS MEMBERS AGREE PROVIDE THEM WITH REAL VALUE. WDA ADVOCATED FOR PUBLIC-POLICY ON ORAL HEALTH CARE. WDA IS THE ADVOCATE FOR QUALITY ORAL HEALTH CARE IN ALL PUBLIC POLICY ISSUES. WDA EDUCATED THE PUBLIC ON ORAL HEALTH AND DELIVERY OF CARE. WDA IS RECOGNIZED AS THE PUBLIC'S AUTHORITATIVE SOURCE OF ORAL HEALTH CARE INFORMATION. WDA EMPOWERED ITS MEMBERS AND STAFF FOR ORGANIZATIONAL AND MEMBER SUCCESS. WDA HAS DEVELOPED GOVERNANCE SYSTEMS AND BUSINESS PROCESSES TO EMPOWER ITS MEMBERS, STAFF AND PARTNERS FOR MAXIMUM ORGANIZATIONAL ACHIEVEMENT AND MEMBER EFFECTIVENESS IN ASSOCIATION INITIATIVES. WITH MORE THAN 3,000 MEMBERS STATEWIDE, THE WDA REPRESENTS 85 PERCENT OF ALL LICENSED DENTISTS AND A GROWING NUMBER OF DENTAL HYGIENISTS IN WISCONSIN.Description
Described In501 C30DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees21NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
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 Line1MS KELLY SICSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4147554102TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DR PAUL LEVINE
TRUSTEE7.00X000
DR THOMAS NOCKERTS
TRUSTEE2.00X000
DR JULIO RODRIGUEZ
TRUSTEE15.00X000
DR RYAN T BRADEN
TRUSTEE4.00X000
DR JULIE FOX
TRUSTEE4.00X000
DR L STANLEY BRYSH
TRUSTEE6.00X000
DR DAVID J KENYON
TRUSTEE9.00X000
DR THOMAS RAIMANN
TRUSTEE6.00X000
DR NED MURPHY
TRUSTEE12.00X000
DR JEFFREY NEHRING
TRUSTEE6.00X000
DR BARRETT STRAUB
TRUSTEE2.00X000
DR JEFFREY KRAIG
TRUSTEE6.00X000
DR DAVE CLEMENS
TRUSTEE3.00X000
DR PETER HEHLI
TRUSTEE2.00X000
DR THOMAS KIELMA
TRUSTEE8.00X000
MR ANDREW RASSMUSSEN
TRUSTEE2.00X000
DR DENNIS ENGEL
TRUSTEE2.00X000
DR KENT VANDEHAAR
PAST PRESIDENT2.00000X
DR JOHN R MOSER
TREASUER10.00000X
DR TIMOTHY DURTSCHE
VICE PRESIDENT15.00000X
DR EUGENE SHOEMAKER
PRESIDENT15.00000X
DR STEVEN STOLL
PRESIDENT ELECT23.00000X
MR MARK PAGET
SECRETARY/EXECUTIVE DIRECT38.0016893504127X
MS JEANNE RUDE
CHIEF OPERATING OFFICER38.001129610525X
DR RICHARD LOFTHOUSE
SPEAKER OF THE HOUSE2.00000X
DR ROBERT BRENNAN
EDITOR9.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org281896TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation4652TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations355988RelatedOrganizations
All Other Contributions4500AllOtherContributions
Total Contributions360488TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES54190017177791717779
WDA JOURNAL54180019410110049193610
CONTINUING EDUCATION611430185710185710
EXHIBIT FEES AND SUBSC900099113360113360

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column31528TotalRevenueColumn
Related Or Exempt Function Income26541RelatedOrExemptFunctionIncome
Unrelated Business Revenue4987UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue2242478TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47699TotalRevenueColumn
Exclusion$47,699ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column406371TotalRevenueColumn
Unrelated Business Revenue179734UnrelatedBusinessRevenue
Exclusion$226,637ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3057036TotalRevenueColumn
Related Or Exempt Function Income2143881RelatedOrExemptFunctionIncome
Unrelated Business Revenue278331UnrelatedBusinessRevenue
Exclusion$274,336ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total368340Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total600474Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total73106Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total161130Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total83682Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78709Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17200Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5570Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total56623Total

Advertising Advertising

FieldValueIRS element (for citing)
Total523572Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total289528Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total109528Total

Travel Travel

FieldValueIRS element (for citing)
Total194370Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total351307Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total64137Total

Insurance Insurance

FieldValueIRS element (for citing)
Total20689Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
INCOME TAXES12766
MAINTENANCE36493
REGISTRATION FEES15510
FUFILLMENT7803

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23314Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3093851Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1999181BOY
EOY1092831EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY806470BOY
EOY1201287EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY34396BOY
EOY7095EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126107BOY
EOY167180EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis424940LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec357534LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY108805BOY
EOY67406EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2368727BOY
EOY2891353EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY573090BOY
EOY576454EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY296645BOY
EOY270254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6313421BOY
EOY6273860EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY101801BOY
EOY146922EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1002354BOY
EOY938499EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY942564BOY
EOY910422EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2046719BOY
EOY1995843EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4266702BOY
EOY4278017EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4266702BOY
EOY4278017EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6313421BOY
EOY6273860EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-36815ReconcilationRevenueExpenses
Reconcilation Other Changes48130ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures106667PoliticalExpenditures
Amt Of Internal Funds Contributed106667AmtOfInternalFundsContributed
Total Exmpt Function Expenditures106667TotalExmptFunctionExpenditures
Form1120 Pol Filed0Form1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINAmt Pd From Internal FundsAmtPdFromInternalFunds
WI DENTAL POLITICAL ACTION
10 E DOTYSUITE 509MADISONWI53703396221695104593
DIRECT GIVER PROGRAM
10 E DOTYSUITE 509MADISONWI537033917794292074
FieldValueIRS element (for citing)
Substantially All Dues Nondeduct0SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year1AgreeToCarryoverPriorYear
Dues Assessments1717779DuesAssessments
Non Ded Lobby Political Current272225NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Carryover106842NonDedLobbyPoliticalCarryover
Non Ded Lobby Political Total379067NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices343556AggrAmtReportedInDuesNotices
Amount To Be Carried Over35511AmountToBeCarriedOver

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:Identifier
Return ReferencePART I-A, LINE 1:ReturnReference
ExplanationMAINTAINED A POLITICAL ACTION COMMITTEE AND DIRECT GIVER PROGRAMExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23600OtherCostOrOtherBasis
Depreciation21827Depreciation
Book Value1773BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis401340OtherCostOrOtherBasis
Depreciation335707Depreciation
Book Value65633BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings67406TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value576454BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities576454TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$2,909
DUES COLLECTED FOR OTHER ASSOCS.$697,177
DEFERRED COMPENSATION PAYABLE$176,578
LT RETIREE MEDICAL PREMIUMS$33,758
FieldValueIRS element (for citing)
Total Of Amounts910422TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMR MARK PAGETNamePerson
Base Compensation Filing Org165945BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org2990OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org16594DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org30534NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org216063TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE ORGANIZATION ELECT THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BASSOCIATION'S HOUSE OF DELEGATES APPROVES BUDGET, DUES RATE, OFFICERS, AND POLICY ISSUES PRESENTED BY THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE WDA BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO IT BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER COMPLETES OUR CONFLICT OF INTEREST FORM. AT THE BEGINNING OF EACH BOARD MEETING, THE PRESIDENT ASKS WHETHER ANY TRUSTEE HAS A CONFLICT WITH ANY OF THE ITEMS BEING ADDRESSED AT THE MEETING. IF SUCH CONFLICT EXISTS, THE INDIVIDUAL EXPLAINS THEIR CONFLICT AND A DETERMINATION IS MADE BY THE TRUSTEES (WITH ATTORNEY PRESENT) IF THE INDIVIDUAL SHOULD BE EXCUSED FROM DISCUSSION AND VOTING ON THOSE ISSUES.
FORM 990, PART VI, SECTION B, LINE 15THE WDA CONTRACTS WITH AN ORGANIZATION THAT PROVIDES ANNUAL SALARY GRADE UPDATES. THIS INFORMATION IS SHARED WITH THE EXECUTIVE COMMITTEE WHO IS RESPONSIBLE FOR THE EXECUTIVE DIRECTORS CONTRACT / SALARY INCREASES. THE EXECUTIVE DIRECTOR USES THIS SALARY INFORMATION TO DETERMINE RATES FOR ALL OTHER EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 44,771. INVESTMENT IN INCOME OF SUBSIDIARY UNDER EQUITY METHOD 5,859. SHAREHOLDER DIVIDEND -2,500. TOTAL TO FORM 990, PART XI, LINE 5: 48,130.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET SUITE 2AddressLine1
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode
FieldValueIRS element (for citing)
EIN391724524EIN
Primary ActivityINSURANCE SALESPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income5859ShareOfTotalIncome
Share Of EOY Assets1790760ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
A235549FAIR MARKET VALUE
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
C355988FAIR MARKET VALUE
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
N182490FAIR MARKET VALUE