FLORIDA DENTAL ASSOCIATION FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FLORIDA DENTAL ASSOCIATION FOUNDATION INC (EIN 59-2019148)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-04-30
- IRS object ID
- 201231219349300428
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-30T13:04:34-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1713 MAHAN DRIVE | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 32308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592019148 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA DENTAL HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FLOR | NameControl |
| Phone | 8506813629 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E TENNESSEE ST | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 323086914 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACK MOORE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8506813629 | Phone |
| Date Signed | 2012-04-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | L THOMAS COX | Name |
| Phone | 8508788777 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS NORMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E TENNESSEE ST | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 323086914 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 635053 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FLORIDADENTAL.ORG/FOUNDATION | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO GENERATE AND DIRECT RESOURCES FOR CHARITABLE AND EDUCATIONAL ORAL HEALTH PROGRAMS FOR THE PEOPLE OF FLORIDA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 395952 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 355232 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13819 | InvestmentIncomePriorYear |
| Investment Income Current Year | 102765 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 54133 | OtherRevenuePriorYear |
| Other Revenue Current Year | 135016 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 463904 | TotalRevenuePriorYear |
| Total Revenue Current Year | 593013 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 83734 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 83900 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 249247 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 105976 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 50631 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 81803 | OtherExpensePriorYear |
| Other Expenses Current Year | 316076 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 414784 | TotalExpensesPriorYear |
| Total Expenses Current Year | 505952 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 49120 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 87061 | RevenuesLessExpensesCY |
| Total Assets BOY | 2065035 | TotalAssetsBOY |
| Total Assets EOY | 2136101 | TotalAssetsEOY |
| Total Liabilities BOY | 188948 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19156 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1876087 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2116945 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO GENERATE AND DIRECT RESOURCES FOR CHARITABLE AND EDUCATIONAL ORAL HEALTH PROGRAMS FOR THE PEOPLE OF FLORIDA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 82693 | Expense |
| Grants | 75000 | Grants |
| Description | PROJECT: DENTISTS CARE PROGRAM GRANTS: GRANTS TO OTHER ORGANIZATIONS WHO PROVIDE DENTAL HEALTH AND EDUCATION PROGRAMS IN FLORIDA. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3986 | Expense |
| Grants | 2900 | Grants |
| Description | AFFILIATES AGENCY/LOCAL DENTAL HEALTH/EDUCATION PROGRAMS:LOCAL AFFILIATE DENTAL HEALTH PROGRAMS IN WEST COAST, NORTH EAST, CHARLOTTE COUNTY THAT PROVIDE DENTAL CARE SERVICES TO THE UNDERSERVED INCLUDING CHILDREN AND SENIORS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6615 | Expense |
| Grants | 6000 | Grants |
| Description | DENTAL/ALLIED EDUCATION SCHOLARSHIPS: SCHOLARSHIPS PROVIDED FOR DENTAL STUDENTS AND ALLIED DENTAL PROFESSIONS, ESPECIALLY ONE IN WHICH THERE IS A SHORTAGE OF HYGIENISTS, ASSISTANTS OR DENTAL LAB TECHNICIANS. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 574 | 1128 | OTHER PROGRAM SERVICES INCLUDE DENTAL EDUCATION CURRICULUM IN K-6 GRADE SCHOOLS AND OTHER SCHOOL DENTAL HEALTH PROGRAMS INCLUDING USING MOUTHGUARDS TO PROTECT TEETH AT SCHOOL SPORTING EVENTS. OTHER DENTAL HEALTH PROGRAMS INCLUDED HUMANITARIAN AWARD TO SUPPORT DENTAL HEALTH PROGRAMS RECOGNIZED IN FLORIDA AND INTERNATIONALLY. IT ALSO INCLUDES DENTAL HEALTH COURSE SPONSORSHIP OF SPEAKER/COURSE COSTS AT THE FDA FLORIDA NATIONAL DENTAL CONVENTION CONCERNING PROVIDING DENTAL HEALTH SERVICES TO THE UNDERSERVED VIA VOLUNTEER PROGRAMS SUCH AS THE LOCAL PROJECT - DENTISTS CARE PROGRAM. |
| 121082 | SECTION 170 ANNUITY PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 574 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 122210 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 93868 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | 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 | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACK MOORE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8506813629 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E TENNESSEE ST | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 323086914 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| NOLAN ALLEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HOWARD BELL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TERRY BUCKENHEIMER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROBERT FERRIS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ALAN FRIEDEL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HARRY FUTRELL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| CHANEY GORDY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KIM JERNIGAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| NATALIE CARR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| IDALIA LASTRA | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARK ROMER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LEWIS WALKER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAMES WALTON III | ||||||
| PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| ROBERT PAYNE | ||||||
| 1ST VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| TERESA DOLAN | ||||||
| 2ND VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| C WILLIAM D'AIUTO | ||||||
| SECRETARY | 1.00 | 0 | 0 | 0 | X | |
| DAVID RUSSELL | ||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | |
| LARRY NISSEN | ||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| THOMAS NORMAN | ||||||
| CHIEF OPERATING OFFICER | 35.00 | 77512 | 0 | 15372 | X | |
| DANIEL BUKER | ||||||
| CEO | 5.00 | 0 | 404084 | 29838 | X | |
| JACK MOORE | ||||||
| CFO | 5.00 | 0 | 102913 | 18035 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 77512 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 506997 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 63245 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 9250 | FundraisingEvents |
| Related Organizations | 29160 | RelatedOrganizations |
| All Other Contributions | 316822 | AllOtherContributions |
| Total Contributions | 355232 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57134 | TotalRevenueColumn |
| Exclusion | $57,134 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 44961 | Securities |
| Other | 1300 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 465 | Securities |
| Other | 165 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 44496 | Securities |
| Other | 1135 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45631 | TotalRevenueColumn |
| Exclusion | $45,631 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 54216 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 9250 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 41410 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12806 | TotalRevenueColumn |
| Exclusion | $12,806 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SECTION 170 PLAN ACTUA | 900099 | 121082 | 121082 |
| OTHER INCOME | 900099 | 1128 | 1128 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 122210 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 593013 | TotalRevenueColumn |
| Related Or Exempt Function Income | 122210 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $115,571 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82475 | Total |
| Program Services | 82475 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1425 | Total |
| Program Services | 1425 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67582 | Total |
| Program Services | 5569 | ProgramServices |
| Management And General | 34980 | ManagementAndGeneral |
| Fundraising | 27033 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38394 | Total |
| Program Services | 3164 | ProgramServices |
| Management And General | 19877 | ManagementAndGeneral |
| Fundraising | 15353 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6250 | Total |
| Management And General | 6250 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Fundraising | 5000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443 | Total |
| Fundraising | 443 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5165 | Total |
| Management And General | 3629 | ManagementAndGeneral |
| Fundraising | 1536 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443 | Total |
| Management And General | 443 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 523 | Total |
| Management And General | 523 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7188 | Total |
| Management And General | 7188 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130 | Total |
| Management And General | 130 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising | Program ServicesProgramServices |
|---|---|---|---|---|
| SECT 170 ANNUITY PAYOUT | 287804 | 287804 | ||
| AWARDS | 1266 | 1266 | ||
| PROGRAM EXPENSES | 735 | 735 | ||
| CONTRIBUTIONS | 500 | 500 | ||
| FEES & LICENSES | 450 | 450 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179 | Total |
| Management And General | 179 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505952 | Total |
| Program Services | 93868 | ProgramServices |
| Management And General | 361453 | ManagementAndGeneral |
| Fundraising | 50631 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 266052 | BOY |
| EOY | 143376 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 427 | BOY |
| EOY | 2575 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9683 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9683 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7354 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1757426 | BOY |
| EOY | 1924536 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33776 | BOY |
| EOY | 65614 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2065035 | BOY |
| EOY | 2136101 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9906 | BOY |
| EOY | 1989 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178659 | BOY |
| EOY | 17167 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188948 | BOY |
| EOY | 19156 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1324382 | BOY |
| EOY | 1654374 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321144 | BOY |
| EOY | 332651 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230561 | BOY |
| EOY | 129920 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1876087 | BOY |
| EOY | 2116945 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2065035 | BOY |
| EOY | 2136101 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 87061 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 153797 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 367675 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 273525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 414844 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 395952 | CurrentTaxYearMinus1Year |
| Current Tax Year | 355232 | CurrentTaxYear |
| Total | 1807228 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 54216 | CurrentTaxYear |
| Total | 54216 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 1300 | CurrentTaxYear |
| Total | 1300 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 367675 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 273525 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 414844 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 395952 | CurrentTaxYearMinus1Year |
| Current Tax Year | 410748 | CurrentTaxYear |
| Total | 1862744 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 72202 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 75225 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54570 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 86910 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51370 | CurrentTaxYear |
| Total | 340277 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 72202 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 75225 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 54570 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 86910 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51370 | CurrentTaxYear |
| Total | 340277 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1522467 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 183516 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 78599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44476 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13819 | CurrentTaxYearMinus1Year |
| Current Tax Year | 147726 | CurrentTaxYear |
| Total | 468136 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 183516 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 78599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 44476 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13819 | CurrentTaxYearMinus1Year |
| Current Tax Year | 147726 | CurrentTaxYear |
| Total | 468136 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2279 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1879 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 91369 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22555 | CurrentTaxYearMinus1Year |
| Current Tax Year | 122210 | CurrentTaxYear |
| Total | 240292 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 553470 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 354003 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 550689 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 432326 | CurrentTaxYearMinus1Year |
| Current Tax Year | 680684 | CurrentTaxYear |
| Total | 2571172 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.59210 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.43760 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.18210 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.11370 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 230561 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 73442 | InvestmentEarningsOrLosses |
| Other Expenditures | 174083 | OtherExpenditures |
| End Of Year Balance | 129920 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 270967 | BeginningOfYearBalance |
| Grants Or Scholarships | 40406 | GrantsOrScholarships |
| End Of Year Balance | 230561 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| End Of Year Balance | 270967 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.59000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.17000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.24000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9683 | OtherCostOrOtherBasis |
| Depreciation | 9683 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLES | Description |
| Amount | $17,167 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17167 | TotalOfAmounts |
| Total Revenue | 593013 | TotalRevenue |
| Total Expenses | 505952 | TotalExpenses |
| Excess Or Deficit For Year | 87061 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 153797 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 153797 | TotalAdjustments |
| Excess Or Deficit Per FS | 240858 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 812780 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 153797 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 24560 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 41410 | OtherRevenues |
| Revenue Not Rptd F990 | 219767 | RevenueNotRptdF990 |
| Revenue Subtotal | 593013 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 593013 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 571922 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 24560 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 41410 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 65970 | ExpensesNotRptdF990 |
| Expenses Subtotal | 505952 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 505952 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | EFFECTIVE JULY 1, 2009, THE ASSOCIATION IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINITY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC 740, INCOME TAXES. USING THIS GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE LIKELY THAN NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF JUNE 30, 2010, THE ASSOCIATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OF DISCLOSURE IN THE FINANCIAL STATEMENTS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE 41,410. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE 41,410. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | LIVE AUCTION | NameOfEvent1 |
| Gross Receipts Event1 | 54216 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 9250 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 44966 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 14026 | CashPrizesEvent1 |
| Food And Beverage Event1 | 26141 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1243 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 54216 | GrossReceiptsTotal |
| Charitable Contributions Total | 9250 | CharitableContributionsTotal |
| Gross Revenue Total Events | 44966 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 14026 | CashPrizesTotalEvents |
| Food And Beverage Total Events | 26141 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1243 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 41410 | DirectExpenseSummaryEvents |
| Net Income Summary | 3556 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|
| HILLSBOROUGH COMMUNITY COLLEGE | |||||||
| 4001 TAMPA BAY BLVD | TAMPA | FL | 33614 | 510178624 | 225 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| GAINESVILLE COMMUNITY MINISTRY | |||||||
| 238 SW 4TH AVENUE | GAINESVILLE | FL | 32601 | 591724202 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) | |
| ALACHUA COUNTY HEALTH DEPARTMENT WE CARE GAINESVILLE | |||||||
| 224 SE 24TH STREET | GAINESVILLE | FL | 32641 | 592065918 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | ||
| ACORN CLINIC | |||||||
| 23320 N STATE RD 235 | BROOKER | FL | 32622 | 591627845 | 4000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| BARNABAS CENTER INC | |||||||
| 11 S 11TH STREET | FERNADINA BEACH | FL | 32304 | 592920275 | 6000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| CARIDAD CENTER INC | |||||||
| 8645 W BOYNTON BEACH BLVD | BOYNTON BEACH | FL | 33472 | 650149423 | 5000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| COMMUNITY PARTERNSHIP FOR THE HOMELESS | |||||||
| 1550 N MIAMI AVE | MIAMI | FL | 33136 | 650425069 | 5000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| DENISTRY FROM THE HEART | |||||||
| 4530 GRAND BLVD | NEW PORT RICHEY | FL | 34652 | 205178003 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| DONATED DENTAL SERVICES | |||||||
| 8200 W SUNRISE BLVD STE B | PLANTATION | FL | 33322 | 846129064 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | ||
| THE GOOD SAMARITAN HEALTH CENTER | |||||||
| PO BOX 1005 | ST AUGUSTINE | FL | 32085 | 522125419 | 6000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| KID'S DENT OF HIGHLANDS COUNTY | |||||||
| 3838 US 27 S STE 4 | SEBRING | FL | 33870 | 801070567 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | ||
| LAKELAND VOLUNTEERS IN MEDICINE | |||||||
| 1021 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 522351630 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) | |
| OSCEOLA CHRISTIAN MINISTRY | |||||||
| 700 UNION ST | KISSIMMEE | FL | 34741 | 590747304 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| SENIOR FRIENDSHIP CENTERS INC | |||||||
| 1888 BROTHER GEENEN WAY | SARASOTA | FL | 34236 | 591522614 | 5000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| WE CARE DENTAL NETWORK | |||||||
| 1204 MICCOSUKEE RD | TALLAHASSEE | FL | 32308 | 592104510 | 9000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| COMMUNITY SMILES | |||||||
| 750 NW 20TH ST | MIAMI | FL | 33127 | 237372819 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| UNITED WAY OF THE BIG BEND | |||||||
| 2390 PHILLIPS ROAD | TALLAHASSEE | FL | 32308 | 596011150 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) | |
| NORTH EAST DISTRICT DENTAL ASSOCIATION | |||||||
| 3733 UNIVERSITY BLVD W STE 205 | JACKSONVILLE | FL | 32217 | 510141516 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(6) | |
| MISSION SMILES | |||||||
| 801 E HILLSBOROUGH AVE | TAMPA | FL | 33604 | 200836960 | 250 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| WCDDA | |||||||
| 1114 KYLE WOOD LANE | BRANDON | FL | 33511 | 591445866 | 1000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(6) |
| CHRISTIAN PARTNERSHIP FOR THE HOMELESS | |||||||
| 3337 SE SALERNO RD | STUART | FL | 34997 | 331198951 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| DENTAL CARE ACCESS FOUNDATION INC | |||||||
| 800 N MILLS AVE | ORLANDO | FL | 32803 | 201531222 | 5000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| GULF COAST DENTAL OUTREACH INC | |||||||
| 2323 CURLEW RD STE 2F | DUNEDIN | FL | 34698 | 260761820 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | ||
| HILLSBOROUGH COUNTY DENTAL ASSOCIATION INC | |||||||
| 34049 WOODLAND CIRCLE | RIDGE MANOR | FL | 33523 | 263372993 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(6) |
| HOMELESS EMERGENCY PROJECT CLINIC | |||||||
| 1120 N BETTY LANE | CLEARWATER | FL | 33755 | 592729694 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | ||
| NEIGHBORHOOD HEALTH CLINIC INC | |||||||
| 121 N GOODLETTE RD | NAPLES | FL | 34102 | 593546884 | 2000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | 501(C)(3) |
| SAMARITAN'S TOUCH CARE CENTER | |||||||
| 3015 HERRING AVE | SEBRING | FL | 33870 | 020773338 | 6000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| WE CARE PHYSICIAN REFERRAL NETWORK ALACHUA | |||||||
| 224 SE 24TH STREET | GAINESVILLE | FL | 32641 | 592065918 | 8000 | SUPPORT FINANCIAL DEMANDS FOR SUPPLIES,EQUIPMENT, & OPERATIONAL EXPENSE FOR DENTAL ORGANIZATION TO PROVIDE CARE TO UNDERPRIVILEGED RESIDENTS OF FLORIDA | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 11 | TotalNbrOfOtherOrganizations |
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: GRANT RECIPIENTS COMPOSE AND SUBMIT A REPORT MIDWAY THROUGH THE TIME THE FUNDS WERE PROPOSED TO BE USED. AN AVERAGE OF ONE YEAR IS THE TIME SPAN FOR EACH GRANT AND AT THE END OF THEIR INTENDED TIME; EACH ORGANIZATION MUST SUBMIT A DETAILED REPORT OF HOW THE AWARDED GRANT WAS USED. IF THE ORGANIZATION FAILS TO SUBMIT THEIR FINAL REPORT, THEY WILL NOT BE CONSIDERED FOR THE NEXT GRANT CYCLE. EACH RECIPIENT MUST CONTINUE TO SUBMIT THEIR QUARTERLY REPORTS FOR THE YEAR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANIEL BUKER | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 404084 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 22444 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 7394 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 433922 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 RETURN IS SENT TO THE MEMBERS OF THE AUDIT COMMITTEE OF THE COMBINED FLORIDA DENTAL ASSOCIATION RELATED ENTITIES (INCLUDING FLORIDA DENTAL HEALTH FOUNDATION, INC. ENTITY), THAT OVERSEES THE CPA AUDIT, REVIEW OF THE AUDITED FINANCIAL STATEMENTS, SELECTION OF THE AUDITOR AND REVIEW OF THE 990 RETURN. AFTER THE REVIEW BY THE AUDIT COMMITTEE, THE 990 RETURN IS SENT TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE FILING THE TAX RETURN. | |
| THE FOUNDATION VIA ITS CONFLICT OF POLICY PROCEDURE CONTINUOUSLY MONITORS ALL VOTING MEMBERS OF THE GOVERNING BODY AND MEMBERS OF ANY COMMITTEE OR WORK GROUP. THERE IS A WRITTEN REMINDER PROVIDED TO ALL MEMBERS OF FOUNDATION AGENCIES EACH YEAR FOR THEIR FIRST MEETING AS A REFERENCE GUIDE, THEN ALSO THERE IS A VERBAL REMINDER PROVIDED TO ALL MEMBERS OF ASSOICATION AGENCIES EACH YEAR FOR THEIR FIRST ORGANIZATIONAL MEETING AS A REFERENCE GUIDE, THEN ALSO THERE IS A VERBAL REMINDER AT EACH MEETING AND INCLUDED ON THE AGENDA. ALL BOARD MEMBERS SIGN/DATE A WRITTEN STATEMENT THAT EITHER LISTS ANY BUSINESS INTERESTS THEY ARE INVOLVED WITH RELATED BANKS OR ORGANIZATIONS, ETC THAT COULD POTENTIALLY BE A CONFLICT OF INTEREST OR NOTE THAT THEY DON'T HAVE ANY CONFLICTS AND SIGN AND DATE THE STATEMENT (EXAMPLES OF BANKS, OTHER BUSINESS ORGANIZATIONS WHO DEAL WITH THE FOUNDATION ARE PROVIDED TO THE BOARD MEMBERS AS EXAMPLES, ETC). | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 153,797. | FORM 990, PART XI, LINE 5: |
| THERE HAVE BEEN NO CHANGES. | FORM 990, PART XII, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA DENTAL ASSOCIATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E TENNESSEE ST | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 32308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590615479 | EIN |
| Primary Activities | BUSINESS ASSOCIATION | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(6) | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FDA SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E TENNESSEE ST | AddressLine1 |
| City | TALLAHASSEE | City |
| State | FL | State |
| ZIP Code | 32308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592963601 | EIN |
| Primary Activity | INSURANCE SALES | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA DENTAL ASSOCIATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionType |
| Amount Involved | 105976 | AmountInvolved |