SECRETARY

2012-05-14T16:07:33-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2011-01-01 390965289 WISCONSIN DENTAL ASSOCIATION FOUNDATION INC WISC 4142764520 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 MARK PAGET SECRETARY 4142764520 2012-05-14 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2011 2016-02-24 21:20:13Z MARK PAGET 6737 W WASHINGTON STREET NO 2360 WEST ALLIS WI 53214 1470394 0 X N/A X 1957 WI SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 17 17 3 17 0 0 408538 413071 18 0 11980 53815 9724 25688 430260 492574 58967 59679 0 0 94008 97399 0 0 3831 201018 224320 353993 381398 76267 111176 2149840 2234807 9489 9852 2140351 2224955 SUPPORT DENTAL HEALTH CARE INITIATIVES TO IMPROVE ORAL HEALTH CARE OF DISADVANTAGED RESIDENTS THROUGHOUT THE STATE OF WISCONSIN. 0 0 89294 DONATED DENTAL SERVICES - PROVIDED DENTAL SERVICES VALUED AT $804,157 FOR DENTAL TREATMENT OF DISABLED, ELDERLY AND MEDICALLY-COMPROMISED INDIVIDUALS WHO COULD NOT AFFORD THE DENTAL CARE NEEDED. 154749 PROVIDED FREE DENTAL CARE TO 1,570 UNINSURED, LOW-INCOME INDIVIDUALS VALUED AT $1,120,000 OVER A TWO-DAY PERIOD IN WAUSAU, WI. 59679 59679 ENHANCES EDUCATIONAL OPPORTUNITIES BY AWARDING SCHOLARSHIPS TO DENTAL AND DENTAL HYGIENE STUDENTS IN THE STATE OF WISCONSIN AND PROVIDED GRANTS IN SUPPORT OF STATEWIDE COMMUNITY DENTAL HEALTH PROJECTS AND CLINICS WHERE DENTAL CARE IS PROVIDED TO THE LOW INCOME POPULATION. 303722 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 3 1 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X KELLY SICS 4147554102 6737 W WASHINGTON STREET WEST ALLIS WI 53214 DR ANTHONY SCIASCIA PRESIDENT 3.00 X X 0 0 0 DR LOREN SWANSON VICE PRESIDENT 1.50 X X 0 0 0 DR CHRISTINE TEMPAS TREASURER 1.50 X X 0 0 0 MR MARK PAGET SECRETARY 1.00 X X 0 0 0 DR PAUL OBERBRECKLING PAST PRESIDENT 1.50 X X 0 0 0 DR TIMMY COOPER DIRECTOR 1.00 X 0 0 0 DR JULIE FOX DIRECTOR 3.00 X 0 0 0 DR JOHN SADOWSKI DIRECTOR 0.40 X 0 0 0 DR JAMES VAN MILLER DIRECTOR 1.00 X 0 0 0 DR RON STIFTER DIRECTOR 1.50 X 0 0 0 DR JAMES MORGENROTH DIRECTOR 3.00 X 0 0 0 DR SUSAN CABLE DIRECTOR 1.50 X 0 0 0 DR FRANCESCA DE ROSE DIRECTOR 0.40 X 0 0 0 DR ROBERT KARCZEWSKI DIRECTOR 0.40 X 0 0 0 MR PAUL BATELY MEMBER AT-LARGE 0.30 X 0 0 0 MR DAVE C WAGNER MEMBER AT-LARGE 0.40 X 0 0 0 DR JOHN MOSER WDA TREASURER 0.30 X 0 0 0 DR ROGER COMEAU DIRECTOR EMERITUS 1.00 X 0 0 0 MR DENNIS MCGUIRE DIRECTOR EMERITUS 1.00 X 0 0 0 VICTORIA BOHMAN EXECUTIVE DIRECTOR 30.00 X 35385 0 3539 35385 0 3539 0 0 0 0 0 59727 353344 413071 47694 47694 956413 950292 6121 6121 6121 53216 27528 25688 25688 492574 0 0 79503 45479 45479 14200 14200 38924 38924 47370 47228 142 4704 4704 80 80 6321 3437 2884 6477 6477 19074 9049 10025 1000 1000 120180 110819 6665 2696 37951 35319 2632 7388 4995 1896 497 1925 512 800 613 1524 818 706 347 347 MISCELLANEOUS 27082 27082 REGISTRATION 1372 1347 25 381398 303722 73845 3831 34097 50268 190401 320970 21798 26209 43917 36406 10888 73680 14760 14093 2191 667 1841608 1722654 4940 3953 2149840 2234807 5072 9435 4417 417 9489 9852 X 1917615 1935230 222736 289725 2140351 2224955 2149840 2234807 X 111176 -26572 X X 0 1 1 X 0 X 116408 265597 266388 408538 413711 1470642 116408 265597 266388 408538 413711 1470642 183494 1287148 40898 38172 2984 24907 47694 154655 1625297 0.79190 0.81470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14760 14093 667 667 492574 381398 111176 -26572 -26572 84604 493530 -26572 27528 956 492574 0 492574 408926 27528 27528 381398 0 381398 PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 27,528. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 27,528. GOLF OUTING 53216 53216 6101 21427 53216 53216 6101 21427 27528 25688 1 MARQUETTE UNIVERSITY 1250 W WISCONSIN AVE MILWAUKEE WI 53233 390806251 501(C)(3) 12570 SCHOLARSHIP ENDOWMENT FUND - CLASS OF 1971 1 EDUCATIONAL SCHOLARSHIPS FOR DENTAL AND DENTAL HYGIENE STUDENTS 14 14200 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: RECIPIENTS FORWARD COPIES OF PAID RECEIPTS INCURRED FOR EXPENSES ASSOCIATED WITH THE GRANT TO BE RECEIVED. GRANT PAYMENTS MADE AFTER REVIEW OF THESE DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11 COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE ASKED AT EACH MEETING IF THEY HAVE A CONFLICT WITH ANY ISSUE ON THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15A COMPARABLE WAGE DATA IS OBTAINED FROM AN INDEPENDENT FIRM SPECIALIZING IN HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -26,572. PART XI, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.