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DELTA DENTAL COMMUNITY CARE FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL COMMUNITY CARE FOUNDATION (EIN 37-1570764)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201113149349100001
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)
Timestamp2011-11-10T07:16:56-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13625 Cumberland Blvd SE Suite 800AddressLine1
CityAtlantaCity
StateGAState
ZIP Code30339ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN371570764EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL'S F GENE DIXON FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELTNameControl
Phone4159728300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FIRST STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael J CastroName
TitleChief Financial OfficerTitle
Date Signed2011-11-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7708584500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY96733FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss275483ContriReceivedRevAndExpnss
Total Revenue And Expenses275483TotalRevenueAndExpenses
Total Net Investment Income0TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Tot Opr Expenses Rev And Expnss0TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss181250ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps181250ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss181250TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps181250TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses94233ExcessOfRevenueOverExpenses
Net Investment Income0NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY2500CashBOY
Cash EOY96733CashEOY
Cash EOYFMV96733CashEOYFMV
Total Assets BOY2500TotalAssetsBOY
Total Assets EOY96733TotalAssetsEOY
Total Assets EOYFMV96733TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY2500UnrestrictedBOY
Unrestricted EOY96733UnrestrictedEOY
Total Net Assets BOY2500TotalNetAssetsBOY
Total Net Assets EOY96733TotalNetAssetsEOY
Total Liabilities Net Assets BOY2500TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY96733TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY2500TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses94233ExcessOfRevenueOverExpenses
Subtotal96733Subtotal
Total Net Assets Fund Balances EOY96733TotalNetAssetsFundBalancesEOY
FieldValueIRS element (for citing)
Capital Gains And LossesCapitalGainsAndLosses
Qlfy Und Sect4940e For Reduced TaxQlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax
Subtotal0Subtotal
Tax Based On Investment Income0TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due0TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithCAStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorstrueNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL J CASTRO TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number4159728300BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1100 FIRST STREETAddressLine1
CitySan FranciscoCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncomefalseProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Gary D Radine
100 FIRST STREETSAN FRANCISCOCA94105President1.0000
Michael J Castro
100 FIRST STREETSAN FRANCISCOCA94105Treasurer1.0000
Charles Lamont Esq
100 FIRST STREETSAN FRANCISCOCA94105Secretary1.0000
Anthony S Barth
100 FIRST STREETSAN FRANCISCOCA94105Director1.0000
John M Yamamoto DDS
100 FIRST STREETSAN FRANCISCOCA94105Director1.0000
FieldValueIRS element (for citing)
Summary Of Direct Charitable ActySummaryOfDirectCharitableActy
Sum Of Program Related InvestmentsSumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances0AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets0TotalFMVOfUnusedAssets
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets0AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable0CashDeemedCharitable
Net Noncharitable Assets0NetNoncharitableAssets
Minimum Investment Return0MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return0MinimumInvestmentReturn
Tax Based On Investment Income0TaxBasedOnInvestmentIncome
Total Tax0TotalTax
Distributable Amount Before Adj0DistributableAmountBeforeAdj
Distributable Amount Before Ded0DistributableAmountBeforeDed
Distributable Amount As Adjusted0DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions181250ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Amounts Paid Acq Charitable Assets0AmountsPaidAcqCharitableAssets
Amounts Set Aside Suitability Test0AmountsSetAsideSuitabilityTest
Amounts Set Aside Cash Distri Test0AmountsSetAsideCashDistriTest
Qualifying Distributions181250QualifyingDistributions
Adj Qualifying Distributions181250AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted0DistributableAmountAsAdjusted
Undistributed Income Prior Year123UndistributedIncomePriorYear
Prior Year12008PriorYear1
Prior Year22007PriorYear2
Prior Year32006PriorYear3
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year40ExcessDistriCarryoverYear4
Excess Distri Carryover Year30ExcessDistriCarryoverYear3
Excess Distri Carryover Year20ExcessDistriCarryoverYear2
Excess Distri Carryover Year10ExcessDistriCarryoverYear1
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions181250QualifyingDistributions
Applied To Year1123AppliedToYear1
Applied To Current Year0AppliedToCurrentYear
Remaining Distri From Corpus181127RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus181127TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Taxable Amount10TaxableAmount1
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year181127ExcessDistriCyovToNextYear
Excess From Year40ExcessFromYear4
Excess From Year30ExcessFromYear3
Excess From Year20ExcessFromYear2
Excess From Year10ExcessFromYear1
Excess From Current Year181127ExcessFromCurrentYear
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundations

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (36 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodePurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line2RecipientUSAddress/AddressLine2
Albert Einstein Medical Center
5501 Old York RdPhiladelphiaPA19141To provide dental education and improved access to dental health care treatment.$5,000
Bradford County Dental Health Services Inc
1 Progress PlazaTowandaPA18848To provide dental education and improved access to dental health care treatment.$5,000Suite 6
CCBC Foundation
7200 Sollers Point RdBaltimoreMD21222To provide dental education and improved access to dental health care treatment.$5,000
Centre Volunteers in Medicine
2520 Green Tech DrState CollegePA16803To provide dental education and improved access to dental health care treatment.$5,000Suite D
Chester County Community Dental Center
744 Lincoln HwyCoatesvillePA19320To provide dental education and improved access to dental health care treatment.$5,000Suite 120
Community Health & Dental Care
11 Robinson StreetPottstownPA19464To provide dental education and improved access to dental health care treatment.$3,500Ste 100
Community Health Clinic Inc
943 Fourth AvenueNew KensingtonPA15068To provide dental education and improved access to dental health care treatment.$5,000
Community Health Clinic of Butler County
103 Bonnie DriveButlerPA16002To provide dental education and improved access to dental health care treatment.$5,000
Crescent Park Dental Clinic
2 Crescent Park WestWarrenPA16365To provide dental education and improved access to dental health care treatment.$5,000
The Dental Health Clinic
107 S Market StreetBerwickPA18603To provide dental education and improved access to dental health care treatment.$10,000
Ebenezer Medical Outreach Inc
1448 10th AveHuntingtonWV25701To provide dental education and improved access to dental health care treatment.$7,500Ste 100
Family Practice and Counseling Network
4700 Wissahickon AvePhiladelphiaPA19144To provide dental education and improved access to dental health care treatment.$5,000
Hamilton Health Center
1821 Fulton StreetHarrisburgPA17110To provide dental education and improved access to dental health care treatment.$5,000
Healthlink Medical Center
1775 Street RoadSouthamptonPA18966To provide dental education and improved access to dental health care treatment.$5,000
Kanawha County Dental Health Council Inc
1900 School StreetCharlestownWV25312To provide dental education and improved access to dental health care treatment.$5,000
Keystone Dental Care
767 5th AvenueChambersburgPA17201To provide dental education and improved access to dental health care treatment.$5,000Suite B-3A
Kids Smiles Inc
2821 Island AvePhiladelphiaPA19153To provide dental education and improved access to dental health care treatment.$4,000Ste 210
Misson of Mercy
22 S Market StreetFrederickMD21701To provide dental education and improved access to dental health care treatment.$5,000Suite 6D
NYU College of Dentistry
345 E 24th StNew YorkNY10010To provide dental education and improved access to dental health care treatment.$5,000Ste 1039W
Northwest Buffalo Community Health Care Center
155 Lawn AveBuffaloNY14207To provide dental education and improved access to dental health care treatment.$5,000
Open Door Family Medical Centers Inc
165 Main StreetOssiningNY10562To provide dental education and improved access to dental health care treatment.$5,000
Phoenixville HealthCare Access Foundation
32 Gay StPhoenixvillePA19460To provide dental education and improved access to dental health care treatment.$5,000PO Box 591
Montgomery County Care for Kids
8757 Georgia AveSilver SpringMD20910To provide dental education and improved access to dental health care treatment.$5,00010th Floor
Schenectady Family Health Services
1044 State StreetSchenectadyNY12307To provide dental education and improved access to dental health care treatment.$5,000
St Joseph Medical Center
PO Box 316ReadingPA19603To provide dental education and improved access to dental health care treatment.$5,000
St Luke's Hospital & Health Network
801 Ostrum StreetBethlehemPA18015To provide dental education and improved access to dental health care treatment.$3,750
St Paul's Neighborhood Free Medical and Dental Cl
1608 Walnut StEriePA16502To provide dental education and improved access to dental health care treatment.$2,500
Stony Brook Univ School of Dental Medicine
184 Sullivan HallStony BrookNY11794To provide dental education and improved access to dental health care treatment.$5,000
Susquehanna Health System Comm Dental Ctr
469 Hepburn StWilliamsportPA17701To provide dental education and improved access to dental health care treatment.$5,000
The Community Check-Up Center of South Harrisburg
38-C Hall ManorHarrisburgPA17104To provide dental education and improved access to dental health care treatment.$5,000
The Ministry of Caring Inc
1803 West 6th StWilmingtonDE19805To provide dental education and improved access to dental health care treatment.$5,000Andrisani Building
Water Street Dental Clinic
210 S Prince StLancasterPA17603To provide dental education and improved access to dental health care treatment.$5,000
West Virginia Health Right Inc
1520 Washington St ECharlestownWV25311To provide dental education and improved access to dental health care treatment.$5,000
York Hospital Dental Center
c/o York Health FoundationYorkPA17403To provide dental education and improved access to dental health care treatment.$5,000912 S George Street
Altoona Area Regional Partnership for a Healthy Co
620 Howard AveAltoonaPA16601To provide dental education and improved access to dental health care treatment.$5,000Fifth Floor
Lutheran Medical Center
5800 Third AveBrooklynNY11220To provide dental education and improved access to dental health care treatment.$5,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year181250TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

FieldValueIRS element (for citing)
Fees Contracts From Govt AgenciesFeesContractsFromGovtAgencies
Membership Dues And AssessmentsMembershipDuesAndAssessments
Int On Savings And Temp Cash InvstIntOnSavingsAndTempCashInvst
Dividends And Int From Sec Part VIIDividendsAndIntFromSecPartVII
Net Rental Incm Re Debt Fincd PropNetRentalIncmReDebtFincdProp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Incm Personal PropertyNetRentalIncmPersonalProperty
Other Investment Income Part VIIOtherInvestmentIncomePartVII
Gain Sales Assets Oth Than InvntryGainSalesAssetsOthThanInvntry
Net Income Loss From Special EventsNetIncomeLossFromSpecialEvents
Gross Profit Loss Sales Of InvntryGrossProfitLossSalesOfInvntry
Subtotals Part XVIASubtotalsPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo (6 entries)

Contributor NumberContributorNumberContributor Name IndividualContributorNameIndividualAddress Line1ContributorAddressUS/AddressLine1CityContributorAddressUS/CityStateContributorAddressUS/StateZIP CodeContributorAddressUS/ZIPCodeAggregate ContributionsAggregateContributionsPerson Contribution TypePersonContributionType
1Delta Dental Insurance Company100 First StreetSan FranciscoCA9410590139X
2Delta Dental of PennsylvaniaOne Delta DriveMechanicsburgPA17055128750X
3Delta Dental of New YorkOne Delta DriveMechanicsburgPA170555000X
4Delta Dental of New YorkOne Delta DriveMechanicsburgPA1705525000X
5Delta Dental of DelawareOne Delta DriveMechanicsburgPA170555000X
6Delta Dental of West VirginiaOne Delta DriveMechanicsburgPA1705517500X

Depreciation Schedule DepreciationSchedule

Land Etc Schedule2 LandEtcSchedule2

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCode
Delta Dental Insurance Company
100 First StreetSan FranciscoCA94105
Delta Dental of Pennsylvania
One Delta DriveMechanicsburgPA17055
Delta Dental of New York
One Delta DriveMechanicsburgPA17055
Delta Dental of West Virginia
One Delta DriveMechanicsburgPA17055