FURP.ORG / PUBLIC DATA EXPLORER

SEATTLE KING COUNTY DENTAL FOUNDATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SEATTLE KING COUNTY DENTAL FOUNDATION (EIN 94-3170367)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-04-15
IRS object ID
202401069349301430
Schema version
2022v5.0
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)
Return2024-04-15T13:33:16-04:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911125800PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SHANNON & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11851 CENTRAL PLACE SOUTH SUITE 225AddressLine1Txt
CityKENTCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980307507ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943170367EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE-KING COUNTY DENTALBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSEATBusinessNameControlTxt
Phone2064486615PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 HARVARD AVENUEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR NINA SVINOPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2064486615PhoneNum
Signature2023-04-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNINAPersonFirstNm
Person LastSVINOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE COURTNEYPreparerPersonNm
PTINP00177348PTIN
Phone2538528500PhoneNum
Preparation2024-04-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR NINA SVINOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 HARVARD AVENUEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$89,891GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SKCDS.ORG/OUR-FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTHE FOUNDATION IS DEDICATED TO PROACTIVELY ELIMINATING DENTAL INFECTION AND PAIN IN THE KING COUNTY POPULATION THAT LACKS RESOURCES AND/OR ACCESS TO DENTAL CARE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,476PYContributionsGrantsAmt
CY Contributions Grants$5,727CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$23,970PYInvestmentIncomeAmt
CY Investment Income$13,088CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$32,446PYTotalRevenueAmt
CY Total Revenue$18,815CYTotalRevenueAmt
PY Grants And Similar Paid$106,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$50,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,435PYOtherExpensesAmt
CY Other Expenses$11,812CYOtherExpensesAmt
PY Total Expenses$127,185PYTotalExpensesAmt
CY Total Expenses$61,812CYTotalExpensesAmt
PY Revenues Less Expenses-$94,739PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,997CYRevenuesLessExpensesAmt
Total Assets BOY$618,660TotalAssetsBOYAmt
Total Assets EOY$592,837TotalAssetsEOYAmt
Total Liabilities BOY$99TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$618,561NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$592,837NetAssetsOrFundBalancesEOYAmt
MissionTHE FOUNDATION IS DEDICATED TO PROACTIVELY ELIMINATING DENTAL INFECTION AND PAIN IN THE KING COUNTY POPULATION THAT LACKS RESOURCES AND/OR ACCESS TO DENTAL CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$50,000ExpenseAmt
Grant$50,000GrantAmt
DescPROVIDING FUNDING FOR EQUIPMENT AND OTHER NEEDS OF LOCAL NONPROFIT ORGANIZATIONS FOCUSED ON PROVIDING DENTAL CARE TO KING COUNTY RESIDENTS THAT LACK RESOURSES AND/OR ACCESS TO DENTAL CARE.Desc
Total Program Service Expenses$50,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANGELA BONDPersonNm
Phone2064486615PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 HARVARD AVENUEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR RANDY OGATA
EXECUTIVE DI5.0035.00Yes (X)$0$107,317$3,220
DR NINA SVINO
PRESIDENT1.50Yes (X)$0$0$0Yes (X)
DRDOUG WHITFIELD
SECRETARY/TR1.50Yes (X)$0$0$0Yes (X)
DR ADAM KENNEDY
DIRECTOR1.50$0$0$0Yes (X)
DR SARAH FRAKER
DIRECTOR1.50$0$0$0Yes (X)
DR JOHN KIM
DIRECTOR1.50$0$0$0Yes (X)
DR KARLA AYLEN
DIRECTOR1.50$0$0$0Yes (X)
DR CHRISTY KIRCHNER
DIRECTOR1.50$0$0$0Yes (X)
DR HARLYN SUSARLA
DIRECTOR1.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$107,317TotReportableCompRltdOrgAmt
Total Other Compensation$3,220TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$5,727AllOtherContributionsAmt
Total Contributions$5,727TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,824TotalRevenueColumnAmt
Exclusion$16,824ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$67,340SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$71,076SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,736SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,736TotalRevenueColumnAmt
Exclusion-$3,736ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,815TotalRevenueColumnAmt
Exclusion$13,088ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Program Services$50,000ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$385TotalAmt
Management And General$385ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,190TotalAmt
Management And General$6,190ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,371TotalAmt
Management And General$4,371ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$866TotalAmt
Management And General$866ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$61,812TotalAmt
Program Services$50,000ProgramServicesAmt
Management And General$11,812ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,363BOYAmt
EOY$27,577EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,786BOYAmt
EOY$9,408EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$567,511BOYAmt
EOY$555,852EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$618,660BOYAmt
EOY$592,837EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$99BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$618,561BOYAmt
EOY$592,837EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$618,561BOYAmt
EOY$592,837EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$618,660BOYAmt
EOY$592,837EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$42,997ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$17,273NetUnrlzdGainsLossesInvstAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$119,141CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,476CurrentTaxYearMinus1YearAmt
Current Tax Year$5,727CurrentTaxYearAmt
Total$154,692TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$119,141CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,476CurrentTaxYearMinus1YearAmt
Current Tax Year$5,727CurrentTaxYearAmt
Total$154,692TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$10,613SubstantialContributorsTotAmt
Public Support Total170$144,079PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,873CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,944CurrentTaxYearMinus1YearAmt
Current Tax Year$16,824CurrentTaxYearAmt
Total$64,679TotalAmt
FieldValueIRS element (for citing)
Total Support$219,371TotalSupportAmt
Gross Receipts Rltd Activities$16,223GrossReceiptsRltdActivitiesAmt
Public Support CY1700.65680PublicSupportCY170Pct
Public Support PY1700.75160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationACCOUNTING FOR INCOME TAXES GUIDANCE REQUIRES NONPUBLIC ENTITIES TO DETERMINE AND EVALUATE UNCERTAIN TAX POSITIONS. ENTITIES ARE REQUIRED TO MEASURE, RECOGNIZE, AND DISCLOSURE UNCERTAIN TAX POSITIONS. THE TERM TAX POSITION INCLUDES, BUT IS NOT LIMITED TO, A DECISION NOT TO FILE A RETURN, THE CHARACTERIZATION OF INCOME OR A DECISION TO EXCLUDE REPORTING TAXABLE INCOME ON A TAX RETURN, AND THE ENTITYS TAX-EXEMPT STATUS. MANAGEMENT BELIEVES THE FOUNDATION HAS NO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2023 AND 2022, AND THE ACCOMPANYING FINANCIAL STATEMENTS CONTAIN NO INTEREST OR PENALTIES WITH RESPECT TO FEDERAL INCOME TAXES. THE FOUNDATIONS FEDERAL INCOME TAX RETURNS REMAIN OPEN FOR EXAMINATION TO THE EXTENT PRESCRIBED BY THE INTERNAL REVENUE CODE CONSISTING OF FISCAL YEARS ENDED JUNE 30, 2021 THROUGH 2023.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtBusiness Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line2USAddress/AddressLine2Txt
MEDICAL TEAMS INTERNATIONAL
PO BOX 4288PORTLANDOR97208930878944501C$30,000MOBILE DENTAL CLINIC
FRED HUTCHINSON CANCER CENTER
825 EASTLAKE AVE ESEATTLEWA98109911935159501C$20,000GRANTSEATTLE CANCER CARE ALLIANCEPO BOX 19023
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS TYPICALLY HELP IN THE OVERALL OPERATION AND COORDINATION OF THE FOUNDATION'S EVENTS.
FORM 990, PAGE 6, PART VI, LINE 11BA DRAFT OF THE FORM 990 IS PROVIDED TO THE BOARD FOR THEIR REVIEW IN ADVANCE OF FILING THE RETURN. THE EXECUTIVE DIRECTOR ALSO REVIEWS FOR ACCURACY AND COMPARISON TO BOOKS. IF QUESTIONS ARISE, THE EXECUTIVE DIRECTOR CONSULTS WITH TAX PREPARER. ONCE REVIEW PROCESS IS COMPLETE AND THE RETURN APPROVED, THE TAX RETURN IS SIGNED BY THE EXECUTIVE DIRECTOR AND E-FILED BY THE TAX PREPARER.
FORM 990, PAGE 6, PART VI, LINE 12CEACH BOARD MEMBER IS REQUIRED TO SIGN A REPRESEANTATION CONCERNING CONFLICTS OF INTEREST FORM. PRIOR TO EACH BOARD MEETING, A CONFLICT OF INTEREST QUESTION IS RAISED. FOR A POTENTIAL CONFLICT OF INTEREST THE BOARD MEMBERS WILL NOT PARTICIPATE IN THE DETERMINATION OF THE MATTER. IF A VIOLATION OCCURES, EXPLANATION IS REQUESTED AND IF NEEDED APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IS TAKEN.
FORM 990, PAGE 6, PART VI, LINE 15ATHE TOP MANAGEMENT OFFICIAL (THE EXECUTIVE DIRECTOR) IS COMPENSATED BY THE SEATTLE-KING COUNTY DENTAL SOCIETY. THE SOCIETY'S EXECUTIVE COUNCIL, THE GOVERNING BODY, IS RESPONSIBLE FOR DETERMINING THE COMPENSATION PACKAGE. THE FOUNDATION BOARD DOES NOT HAVE A ROLE IN DETERMINING THE EXECUTIVE DIRECTOR'S COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS, POLICIES AND FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SEATTLE-KING COUNTY DENTAL SOCIETYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 HARVARD AVENUEAddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98122ZIPCd
FieldValueIRS element (for citing)
EIN910520407EIN
Primary ActivitiesTRADE ASSNPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501C6ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd