STRATEGY STUDIO / PUBLIC DATA EXPLORER

WISCONSIN DENTAL ASSOCIATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN DENTAL ASSOCIATION INC (EIN 39-0716117)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-07
IRS object ID
201131889349301013
Schema version
2010v3.2
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)
Timestamp2011-07-07T14:12:49-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTON GUNDERSON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1
CityMIDDLETONCity
StateWIState
ZIP Code53562ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390716117EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWISCNameControl
Phone4142764520Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
Address Line22360AddressLine2
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK PAGETName
TitleSECRETARYTitle
Phone4142764520Phone
Date Signed2011-06-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIMBERLY ANDERSON CPAName
Phone6086628600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PAGETNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
Address Line22360AddressLine2
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3170660GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WDA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1870YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE SERVICES THAT ASSIST MEMBERS TO SUCCEED IN THEIR DENTAL PRACTICES AND PROFESSION; PROMOTE QUALITY ORAL HEALTH CARE TO THE PUBLIC.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI249160TotalGrossUBI
Net Unrelated Business Txbl Income46517NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year271700ContributionsGrantsPriorYear
Contributions Grants Current Year315300ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2311521ProgramServiceRevenuePriorYear
Program Service Revenue CY2219275ProgramServiceRevenueCY
Investment Income Prior Year67495InvestmentIncomePriorYear
Investment Income Current Year25106InvestmentIncomeCurrentYear
Other Revenue Prior Year368855OtherRevenuePriorYear
Other Revenue Current Year355877OtherRevenueCurrentYear
Total Revenue Prior Year3019571TotalRevenuePriorYear
Total Revenue Current Year2915558TotalRevenueCurrentYear
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 Year1211819SalariesEtcPriorYear
Salaries Etc Current Year1249322SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1751023OtherExpensePriorYear
Other Expenses Current Year1696832OtherExpensesCurrentYear
Total Expenses Prior Year2962842TotalExpensesPriorYear
Total Expenses Current Year2946154TotalExpensesCurrentYear
Revenues Less Expenses Prior Year56729RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-30596RevenuesLessExpensesCY
Total Assets BOY6085600TotalAssetsBOY
Total Assets EOY6313421TotalAssetsEOY
Total Liabilities BOY2041386TotalLiabilitiesBOY
Total Liabilities EOY2046719TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4044214NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4266702NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE SERVICES THAT ASSIST MEMBERS TO SUCCEED IN THEIR DENTAL PRACTICES AND PROFESSION; PROMOTE QUALITY ORAL HEALTH CARE TO THE PUBLIC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionIMPROVING PUBLIC'S ORAL HEALTH THROUGH MEDIA AWARENESS CAMPAIGN. PROVIDING CONTINUING EDUCATION PROGRAMS TO DENTISTS AND THEIR STAFF. BUILDING RELATIONSHIPS WITH POLICYMAKERS AND PUBLIC ORAL HEALTH GROUPS TO IMPROVE ORAL HEALTH OF WI CITIZENS.Description
Described In501 C30DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
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 Stmt1ConsolidatedAuditFinancialStmt
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 Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees18NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MS JEANNE RUDEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4147554102TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET STEAddressLine1
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
DR PAUL LEVINE
TRUSTEE9.00X000
DR THOMAS NOCKERTS
TRUSTEE9.00X000
DR JULIO RODRIGUEZ
TRUSTEE9.00X000
DR RYAN T BRADEN
TRUSTEE8.00X000
DR JULIE FOX
TRUSTEE9.00X000
DR L STANLEY BRYSH
TRUSTEE10.00X000
DR DAVID J KENYON
TRUSTEE9.00X000
DR THOMAS RAIMANN
TRUSTEE4.00X000
DR NED MURPHY
TRUSTEE9.00X000
DR JEFF NEHRING
TRUSTEE9.00X000
DR BARRETT STRAUB
TRUSTEE9.00X000
DR JEFFREY KRAIG
TRUSTEE9.00X000
DR DAVE CLEMENS
TRUSTEE10.00X000
DR PETER HEHLI
TRUSTEE1.00X000
DR THOMAS KIELMA
TRUSTEE2.00X000
MR ANDREW RASSMUSSEN
TRUSTEE2.00X000
DR KENT VANDEHAAR
PAST PRESIDENT35.00000X
DR JOHN R MOSER
TREASUER10.00000X
DR TIMOTHY DURTSCHE
VICE PRESIDENT19.00000X
DR EUGENE SHOEMAKER
PRESIDENT30.00000X
DR STEVEN STOLL
PRESIDENT ELECT19.00000X
MR MARK PAGET
SECRETARY/EXECUTIVE DIRECT40.00167884047672XX
MS JEANNE RUDE
CHIEF OPERATING OFFICER40.00111365033823X
DR RICHARD LOFTHOUSE
SPEAKER OF THE HOUSE5.00000X
DR ROBERT BRENNAN
EDITOR1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org279249TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation81495TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations5300RelatedOrganizations
All Other Contributions310000AllOtherContributions
Total Contributions315300TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES54190016720171672017
WDA JOURNAL54180020299710767395324
CONTINUING EDUCATION611430199083199083
EXHIBIT FEES AND SUBSC900099118875118875

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column26303TotalRevenueColumn
Related Or Exempt Function Income26303RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2219275TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40495TotalRevenueColumn
Exclusion$40,495ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column352114TotalRevenueColumn
Unrelated Business Revenue153836UnrelatedBusinessRevenue
Exclusion$198,278ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities180677Securities
Other59036Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities184780Securities
Other70322Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4103Securities
Other-11286Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-15389TotalRevenueColumn
Exclusion-$15,389ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory3763GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3763TotalRevenueColumn
Related Or Exempt Function Income3763RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2915558TotalRevenueColumn
Related Or Exempt Function Income2127714RelatedOrExemptFunctionIncome
Unrelated Business Revenue249160UnrelatedBusinessRevenue
Exclusion$223,384ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total360744Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total594339Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total74060Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total142813Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total77366Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65002Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25178Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total9860Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total86473Total

Advertising Advertising

FieldValueIRS element (for citing)
Total469179Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total284274Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total107265Total

Travel Travel

FieldValueIRS element (for citing)
Total169080Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total321749Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total64733Total

Insurance Insurance

FieldValueIRS element (for citing)
Total24260Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
MAINTENANCE25867
REGISTRATION FEES11684
PARKING6276
FUFILLMENT5937
INCOME TAXES3200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16815Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2946154Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1935197BOY
EOY1999181EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1161511BOY
EOY806470EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12435BOY
EOY34396EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY155009BOY
EOY126107EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis434138LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec325333LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY141475BOY
EOY108805EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1865996BOY
EOY2368727EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY553850BOY
EOY573090EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY260127BOY
EOY296645EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6085600BOY
EOY6313421EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY130471BOY
EOY101801EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY963640BOY
EOY1002354EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY947275BOY
EOY942564EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2041386BOY
EOY2046719EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4044214BOY
EOY4266702EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4044214BOY
EOY4266702EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6085600BOY
EOY6313421EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-30596ReconcilationRevenueExpenses
Reconcilation Other Changes253084ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures105196PoliticalExpenditures
Amt Expended For527 Activities0AmtExpendedFor527Activities
Amt Of Internal Funds Contributed105196AmtOfInternalFundsContributed
Total Exmpt Function Expenditures105196TotalExmptFunctionExpenditures
Form1120 Pol Filed0Form1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINAmt Pd From Internal FundsAmtPdFromInternalFunds
WI DENTAL POLITICAL ACTION
10 E DOTYSUITE 509MADISONWI5370339622169586879
DIRECT GIVER PROGRAM
10 E DOTYSUITE 509MADISONWI5370339177942918317
FieldValueIRS element (for citing)
Substantially All Dues Nondeduct0SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear
Dues Assessments1672017DuesAssessments
Non Ded Lobby Political Current290764NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Total290764NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices183922AggrAmtReportedInDuesNotices
Amount To Be Carried Over106842AmountToBeCarriedOver

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:Identifier
Return ReferencePART I-A, LINE 1:ReturnReference
ExplanationMAINTAINED A POLITICAL ACTION COMMITTEE AND DIRECT GIVER PROGRAMExplanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis23600OtherCostOrOtherBasis
Depreciation20190Depreciation
Book Value3410BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis410538OtherCostOrOtherBasis
Depreciation305143Depreciation
Book Value105395BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings108805TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value573090BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities573090TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$1,041
DUES COLLECTED FOR OTHER ASSOCS.$710,090
DEFERRED COMPENSATION PAYABLE$194,217
LT RETIREE MEDICAL PREMIUMS$37,216
FieldValueIRS element (for citing)
Total Of Amounts942564TotalOfAmounts
Total Revenue2915558TotalRevenue
Total Expenses2946154TotalExpenses
Excess Or Deficit For Year-30596ExcessOrDeficitForYear
Net Unrealized GL On Investments233844NetUnrealizedGLOnInvestments
Other$19,240OtherAmount
Total Adjustments253084TotalAdjustments
Excess Or Deficit Per FS222488ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3171142TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments233844NetUnrealizedGainsInvestments
Other Revenues21740OtherRevenues
Revenue Not Rptd F990255584RevenueNotRptdF990
Revenue Subtotal2915558RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902915558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2946154TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2946154ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902946154TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:INVESTMENT IN INCOME OF SUBSIDIARY UNDER EQUITY METHOD 21,740. SHAREHOLDER DIVIDEND -2,500.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EQUITY IN NET INCOME OF SUBSIDIARIES 21,740.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMR MARK PAGETNamePerson
Base Compensation Filing Org158154BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org4599BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org5131OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org16275DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org31397NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org215556TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE ORGANIZATION ELECT THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BASSOCIATION'S HOUSE OF DELEGATES APPROVES BUDGET, DUES RATE, OFFICERS, AND POLICY ISSUES PRESENTED BY THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE WDA BOARD OF DIRECTORS WILL REVIEW FORM 990 PRIOR TO IT BEING FILED.
EACH BOARD MEMBER COMPLETES OUR CONFLICT OF INTEREST FORM. AT THE BEGINNING OF EACH BOARD MEETING, THE PRESIDENT ASKS WHETHER ANY TRUSTEE HAS A CONFLICT WITH ANY OF THE ITEMS BEING ADDRESSED AT THE MEETING. IF SUCH CONFLICT EXISTS, THE INDIVIDUAL EXPLAINS THEIR CONFLICT AND A DETERMINATION IS MADE BY THE TRUSTEES (WITH ATTORNEY PRESENT) IF THE INDIVIDUAL SHOULD BE EXCUSED FROM DISCUSSION AND VOTING ON THOSE ISSUES.FORM 990, PART VI, SECTION B, LINE 12C
THE WDA CONTRACTS WITH AN ORGANIZATION THAT PROVIDES ANNUAL SALARY GRADE UPDATES. THIS INFORMATION IS SHARED WITH THE EXECUTIVE COMMITTEE WHO IS RESPONSIBLE FOR THE EXECUTIVE DIRECTORS CONTRACT / SALARY INCREASES. THE EXECUTIVE DIRECTOR USES THIS SALARY INFORMATION TO DETERMINE RATES FOR ALL OTHER EMPLOYEES.FORM 990, PART VI, SECTION B, LINE 15
UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 233,844. INVESTMENT IN INCOME OF SUBSIDIARY UNDER EQUITY METHOD 21,740. SHAREHOLDER DIVIDEND -2,500. TOTAL TO FORM 990, PART XI, LINE 5: 253,084.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16737 WEST WASHINGTON STREET SUITE 2AddressLine1
CityWEST ALLISCity
StateWIState
ZIP Code53214ZIPCode
FieldValueIRS element (for citing)
EIN391724524EIN
Primary ActivityINSURANCE SALESPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN DENTAL ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income21470ShareOfTotalIncome
Share Of EOY Assets1737948ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
A223094FAIR MARKET VALUE
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
C310000FAIR MARKET VALUE
WISCONSIN DENTAL ASSOCIATION INSURANCE & SERVICES CORP
N177725FAIR MARKET VALUE