2012-08-15T09:00:18-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2011-01-01 390716117 WISCONSIN DENTAL ASSOCIATION INC WISC 4142764520 6737 WEST WASHINGTON STREET STE 2360 WEST ALLIS WI 53214 MARK PAGET 4142764520 2012-08-13 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2011 2016-02-24 21:20:13Z MARK PAGET 6737 WEST WASHINGTON STREET STE 2360 WEST ALLIS WI 53214 3057036 0 X WWW.WDA.ORG X 1870 WI ADVANCE THE INTERESTS OF WDA MEMBERS AND THE DENTAL PROFESSION BY PROMOTING PROFESSIONAL EXCELLENCE AND QUALITY ORAL HEALTH CARE FOR THE PUBLIC. 15 15 21 22 278331 46251 315300 360488 2219275 2242478 25106 47699 355877 406371 2915558 3057036 0 0 0 0 1249322 1286732 0 0 0 1696832 1807119 2946154 3093851 -30596 -36815 6313421 6273860 2046719 1995843 4266702 4278017 X ADVANCE THE INTERESTS OF WDA MEMBERS AND THE DENTAL PROFESSION BY PROMOTING PROFESSIONAL EXCELLENCE AND QUALITY ORAL HEALTH CARE FOR THE PUBLIC. 0 0 WDA 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. 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 42 0 1 21 1 1 1 0 0 0 1 1 0 X 15 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X MS KELLY SICS 4147554102 6737 WEST WASHINGTON STREET STE WEST ALLIS WI 53214 DR PAUL LEVINE 7.00 X 0 0 0 DR THOMAS NOCKERTS 2.00 X 0 0 0 DR JULIO RODRIGUEZ 15.00 X 0 0 0 DR RYAN T BRADEN 4.00 X 0 0 0 DR JULIE FOX 4.00 X 0 0 0 DR L STANLEY BRYSH 6.00 X 0 0 0 DR DAVID J KENYON 9.00 X 0 0 0 DR THOMAS RAIMANN 6.00 X 0 0 0 DR NED MURPHY 12.00 X 0 0 0 DR JEFFREY NEHRING 6.00 X 0 0 0 DR BARRETT STRAUB 2.00 X 0 0 0 DR JEFFREY KRAIG 6.00 X 0 0 0 DR DAVE CLEMENS 3.00 X 0 0 0 DR PETER HEHLI 2.00 X 0 0 0 DR THOMAS KIELMA 8.00 X 0 0 0 MR ANDREW RASSMUSSEN 2.00 X 0 0 0 DR DENNIS ENGEL 2.00 X 0 0 0 DR KENT VANDEHAAR 2.00 X 0 0 0 DR JOHN R MOSER 10.00 X 0 0 0 DR TIMOTHY DURTSCHE 15.00 X 0 0 0 DR EUGENE SHOEMAKER 15.00 X 0 0 0 DR STEVEN STOLL 23.00 X 0 0 0 MR MARK PAGET 38.00 X 168935 0 4127 MS JEANNE RUDE 38.00 X 112961 0 525 DR RICHARD LOFTHOUSE 2.00 X 0 0 0 DR ROBERT BRENNAN 9.00 X 0 0 0 281896 0 4652 2 0 1 0 0 355988 4500 360488 MEMBERSHIP DUES 541900 1717779 1717779 WDA JOURNAL 541800 194101 100491 93610 CONTINUING EDUCATION 611430 185710 185710 EXHIBIT FEES AND SUBSC 900099 113360 113360 31528 26541 4987 2242478 47699 47699 406371 179734 226637 3057036 2143881 278331 274336 368340 600474 73106 161130 83682 78709 17200 5570 56623 523572 289528 109528 194370 351307 64137 20689 INCOME TAXES 12766 MAINTENANCE 36493 REGISTRATION FEES 15510 FUFILLMENT 7803 23314 3093851 1999181 1092831 806470 1201287 34396 7095 126107 167180 424940 357534 108805 67406 2368727 2891353 573090 576454 296645 270254 6313421 6273860 101801 146922 1002354 938499 942564 910422 2046719 1995843 X 4266702 4278017 4266702 4278017 6313421 6273860 X -36815 48130 X X 0 1 1 X 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 106667 106667 106667 0 WI DENTAL POLITICAL ACTION 10 E DOTYSUITE 509 MADISON WI 53703 396221695 104593 DIRECT GIVER PROGRAM 10 E DOTYSUITE 509 MADISON WI 53703 391779429 2074 0 0 1 1717779 272225 106842 379067 343556 35511 ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: MAINTAINED A POLITICAL ACTION COMMITTEE AND DIRECT GIVER PROGRAM 23600 21827 1773 401340 335707 65633 67406 576454 C 576454 DUE TO AFFILIATES 2909 DUES COLLECTED FOR OTHER ASSOCS. 697177 DEFERRED COMPENSATION PAYABLE 176578 LT RETIREE MEDICAL PREMIUMS 33758 910422 X X X X X 0 0 0 MR MARK PAGET 165945 0 0 0 2990 0 16594 0 30534 0 216063 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF THE ORGANIZATION ELECT THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B ASSOCIATION'S HOUSE OF DELEGATES APPROVES BUDGET, DUES RATE, OFFICERS, AND POLICY ISSUES PRESENTED BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE WDA BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH 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 15 THE 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 19 UPON REQUEST CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP 6737 WEST WASHINGTON STREET SUITE 2 WEST ALLIS WI 53214 391724524 INSURANCE SALES WI WISCONSIN DENTAL ASSOCIATION INC C 5859 1790760 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP A 235549 FAIR MARKET VALUE WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP C 355988 FAIR MARKET VALUE WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP N 182490 FAIR MARKET VALUE