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PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION (EIN 20-1468244)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-09
IRS object ID
201103139349301975
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-09T13:24:28-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sells Hogg & Jones CPAs PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11079B Spruce StreetAddressLine1
CityMartinsvilleCity
StateVAState
ZIP Code24112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201468244EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Piedmont Virginia Dental Health FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPIEDNameControl
Phone2766329266Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1407 Starling AvenueAddressLine1
CityMartinsvilleCity
StateVAState
ZIP Code241123731ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark A Crabtree DDSName
TitlePresidentTitle
Phone2766329266Phone
Date Signed2011-10-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert W Hogg CPAName
Phone2766383904Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark A Crabtree DDSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1407 Starling AveAddressLine1
CityMartinsvilleCity
StateVAState
ZIP Code24112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts302040GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Type Of Org Other DescriptionFoundationTypeOfOrgOtherDescription
Year Formation2004YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTo operate a dental clinic to provide free and reduced-fee dental services to unemployed and uninsured adults, needy children and Medicaid patients who have been unable to acquire such servicesActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year54333ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY246362ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year612InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year733OtherRevenueCurrentYear
Total Revenue Prior Year0TotalRevenuePriorYear
Total Revenue Current Year302040TotalRevenueCurrentYear
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 Year0SalariesEtcPriorYear
Salaries Etc Current Year255787SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year0OtherExpensePriorYear
Other Expenses Current Year147492OtherExpensesCurrentYear
Total Expenses Prior Year0TotalExpensesPriorYear
Total Expenses Current Year403279TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-101239RevenuesLessExpensesCY
Total Assets BOY282854TotalAssetsBOY
Total Assets EOY187631TotalAssetsEOY
Total Liabilities BOY907TotalLiabilitiesBOY
Total Liabilities EOY6923TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY281947NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY180708NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Foundation's mission is to operate a dental clinic to improve the oral health of the community's disadvantaged citizens through oral health education and dental and dental hygiene services. The clinic's patient care goal is to provide the maximum amount of access to dental care for our unissured, unemployed and low-income population. Its externship goal is to provide VCU dental students (externs) with a real-life, general dentistry, private practice experience in a state of the art dental facility.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense394286Expense
Grants0Grants
Revenue247095Revenue
DescriptionThe Foundation operates a dental clinic staffed by a dentist and students from the Virginia Commonwealth University School of Dentistry. The dental students are supervised by the dentist and volunteer local area practicing dentists. Free or reduced-fee dental services were provided to needy indivuals.Description
Total Program Service Expense394286TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees7NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMark A Crabtree DDSNamePerson
Telephone Number2766329266TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1407 Starling AvenueAddressLine1
CityMartinsvilleCity
StateVAState
ZIP Code24112ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Mark A Crabtree DDS
President/Director7.00XX000
Edward P Snyder DDS
Vice-Pres/Director1.00XX000
Ann C Huffman
Sec/Treas/Director4.00XX134000136
M Gene Teague
Director1.00X000
Paul R Eason MD
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org13400TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation136TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions54333AllOtherContributions
Total Contributions54333TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Dental fees - Medicaid812900175085175085
Dental fees - patients8129006590365903
DATS program90009935003500
Boys and Girls Club90009918741874
FieldValueIRS element (for citing)
Total Program Service Revenue246362TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column612TotalRevenueColumn
Exclusion$612ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous incomeDescription
Business Code900099BusinessCode
Total Revenue Column733TotalRevenueColumn
Related Or Exempt Function Income733RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue733TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column302040TotalRevenueColumn
Related Or Exempt Function Income247095RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$612ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total13400Total
Program Services8933ProgramServices
Management And General4467ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total198638Total
Program Services198638ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6016Total
Program Services6016ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20239Total
Program Services20082ProgramServices
Management And General157ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17494Total
Program Services17494ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total980Total
Program Services980ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total923Total
Program Services923ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4844Total
Program Services4360ProgramServices
Management And General484ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10300Total
Program Services9270ProgramServices
Management And General1030ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30574Total
Program Services30574ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1021Total
Program Services1021ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16850Total
Program Services16850ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total945Total
Program Services945ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Dental supplies4481644816
Rent13473121261347
Meals for students52575257
Medical expense33373337
Taxes - licenses & prop23802142238

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11792Total
Program Services10522ProgramServices
Management And General1270ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total403279Total
Program Services394286ProgramServices
Management And General8993ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18398BOY
EOY10019EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY126977BOY
EOY59131EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19325BOY
EOY16695EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis184077LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec82291LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY118154BOY
EOY101786EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY282854BOY
EOY187631EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY907BOY
EOY6923EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY907BOY
EOY6923EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY281947BOY
EOY180708EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY281947BOY
EOY180708EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY282854BOY
EOY187631EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-101239ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158078CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years133931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136310CurrentTaxYearMinus1Year
Current Tax Year54333CurrentTaxYear
Total546156Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111211CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123001CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years171919CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year240291CurrentTaxYearMinus1Year
Current Tax Year246362CurrentTaxYear
Total892784Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years269289CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years186505CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years305850CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year376601CurrentTaxYearMinus1Year
Current Tax Year300695CurrentTaxYear
Total1438940Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5091438940PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2223CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year866CurrentTaxYearMinus1Year
Current Tax Year612CurrentTaxYear
Total7072Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2223CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year866CurrentTaxYearMinus1Year
Current Tax Year612CurrentTaxYear
Total7072Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years271512CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years188631CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years307095CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year377467CurrentTaxYearMinus1Year
Current Tax Year301307CurrentTaxYear
Total1446012Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99510PublicSupportPercentage509
Prior Year Support Percentage0.99280PriorYearSupportPercentage
Investment Income Percentage0.00490InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis120328OtherCostOrOtherBasis
Depreciation39441Depreciation
Book Value80887BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis63749OtherCostOrOtherBasis
Depreciation42850Depreciation
Book Value20899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings101786TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11The Foundation provides a copy of return for review at board of directors meeting before filing.
The Foundation makes its governing documents, conflict of interest policy, and financial statments available to the public upon request, either for viewing in the Foundation's office or providing copies to the requester.Form 990, Part VI, Section C, line 19