HARRY E DAVIS PARTNERSHIP FOR CHILDRENS ORAL HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HARRY E DAVIS PARTNERSHIP FOR CHILDRENS ORAL HEALTH (EIN 81-3309003)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-06-09
IRS object ID
202431619349300403
Schema version
2023v5.0
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)
Return2024-06-09T18:51:11-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN824812448PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PGM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1319 Main StreetAddressLine1Txt
CityBiddefordCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN813309003EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HARRY E DAVIS PARTNERSHIP FORBusinessNameLine1Txt
Business Name Line2CHILDREN'S ORAL HEALTHBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHARRBusinessNameControlTxt
Phone2078054243PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11AddressLine1Txt
CityYARMOUTHCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04096ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBecca MatusovichPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2078054243PhoneNum
Signature2024-06-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBeccaPersonFirstNm
Person LastMatusovichPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP01200943PTIN
Phone2074155714PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S ORAL HEALTH NETWORK OF MAINE (COHN)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBECCA MATUSOVICHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11AddressLine1Txt
CityYARMOUTHCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04096ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,796,214GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mainecohn.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionThe Children's Oral Health Network is a network of organizations and individuals united by a shared mission: to make Maine a place where all children can grow up free from preventable dental disease.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,405,632PYContributionsGrantsAmt
CY Contributions Grants$1,788,810CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,043PYInvestmentIncomeAmt
CY Investment Income$7,278CYInvestmentIncomeAmt
PY Other Revenue$751PYOtherRevenueAmt
CY Other Revenue$126CYOtherRevenueAmt
PY Total Revenue$1,409,426PYTotalRevenueAmt
CY Total Revenue$1,796,214CYTotalRevenueAmt
PY Grants And Similar Paid$794,044PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$410,848CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$256,856PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$274,295CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,196CYTotalFundraisingExpenseAmt
PY Other Expenses$89,996PYOtherExpensesAmt
CY Other Expenses$664,343CYOtherExpensesAmt
PY Total Expenses$1,140,896PYTotalExpensesAmt
CY Total Expenses$1,349,486CYTotalExpensesAmt
PY Revenues Less Expenses$268,530PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$446,728CYRevenuesLessExpensesAmt
Total Assets BOY$1,149,235TotalAssetsBOYAmt
Total Assets EOY$1,556,877TotalAssetsEOYAmt
Total Liabilities BOY$191,299TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,213TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$957,936NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,404,664NetAssetsOrFundBalancesEOYAmt
MissionThe Children's Oral Health Network is a network of organizations and individuals united by a shared mission: to make Maine a place where all children can grow up free from preventable dental disease.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,254,179ExpenseAmt
Grant$410,848GrantAmt
Revenue$126RevenueAmt
DescThe Children's Oral Health Network works to bring together stakeholders and partners to co-design collaborative initiatives and systemic change strategies. The Organization is a broad network designed to: convene teams to lead implementation strategies targeting key focus priorities, increase the total available financial resources to support the shared goals of the Organization and its members, share information and build relationships across the network to improve coordination and spread innovation.Desc
Total Program Service Expenses$1,254,179TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBecca MatusovichPersonNm
Phone2078054243PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 11AddressLine1Txt
CityYARMOUTHCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04096ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Andrew Klingenstein
President2.00Yes (X)Yes (X)$0$0$0
Dr Barbara Crowley
Board Member2.00Yes (X)$0$0$0
Dr Stephen Mills
Board Member2.00Yes (X)$0$0$0
Eliot Brenner
Treasurer3.00Yes (X)Yes (X)$0$0$0
Becca Matusovich
Executive Director40.00Yes (X)$136,636$0$10,673
FieldValueIRS element (for citing)
Total Reportable Comp From Org$136,636TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,673TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$461,011GovernmentGrantsAmt
All Other Contributions$1,327,799AllOtherContributionsAmt
Total Contributions$1,788,810TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,278TotalRevenueColumnAmt
Exclusion$7,278ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900099BusinessCd
Total Revenue Column$126TotalRevenueColumnAmt
Related Or Exempt Func Income$126RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$126OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,796,214TotalRevenueColumnAmt
Related Or Exempt Func Income$126RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,278ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$410,848TotalAmt
Program Services$410,848ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$147,309TotalAmt
Program Services$123,327ProgramServicesAmt
Management And General$23,569ManagementAndGeneralAmt
Fundraising$413FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$74,673TotalAmt
Program Services$62,517ProgramServicesAmt
Management And General$11,947ManagementAndGeneralAmt
Fundraising$209FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,138TotalAmt
Program Services$1,790ProgramServicesAmt
Management And General$342ManagementAndGeneralAmt
Fundraising$6FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,997TotalAmt
Program Services$27,495ProgramServicesAmt
Management And General$5,366ManagementAndGeneralAmt
Fundraising$136FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,178TotalAmt
Program Services$14,460ProgramServicesAmt
Management And General$2,341ManagementAndGeneralAmt
Fundraising$377FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,438TotalAmt
Program Services$11,447ProgramServicesAmt
Management And General$42,991ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$554,476TotalAmt
Program Services$554,476ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,556TotalAmt
Management And General$1,556ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,480TotalAmt
Program Services$4,909ProgramServicesAmt
Management And General$2,571ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,800TotalAmt
Program Services$7,800ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,012TotalAmt
Program Services$6,958ProgramServicesAmt
Management And General$54ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,973TotalAmt
Program Services$11,973ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,346TotalAmt
Management And General$1,346ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Other project expenses$8,317$8,317
Dues$5,175$4,675$445$55
Supplies$3,331$1,748$1,583
Telephone$1,439$1,439

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,349,486TotalAmt
Program Services$1,254,179ProgramServicesAmt
Management And General$94,111ManagementAndGeneralAmt
Fundraising$1,196FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$83,006BOYAmt
EOY$32,470EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$907,890BOYAmt
EOY$1,284,157EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$150,420BOYAmt
EOY$235,399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,919BOYAmt
EOY$4,851EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,149,235BOYAmt
EOY$1,556,877EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$191,299BOYAmt
EOY$152,213EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,299BOYAmt
EOY$152,213EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$554,823BOYAmt
EOY$606,451EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$403,113BOYAmt
EOY$798,213EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$957,936BOYAmt
EOY$1,404,664EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,149,235BOYAmt
EOY$1,556,877EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$446,728ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$766,001CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,027,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$848,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,405,632CurrentTaxYearMinus1YearAmt
Current Tax Year$1,788,810CurrentTaxYearAmt
Total$5,836,755TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$766,001CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,027,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$848,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,405,632CurrentTaxYearMinus1YearAmt
Current Tax Year$1,788,810CurrentTaxYearAmt
Total$5,836,755TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$391,498CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,207,718CurrentTaxYearMinus1YearAmt
Current Tax Year$1,247,152CurrentTaxYearAmt
Total$2,846,368TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$391,498CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,207,718CurrentTaxYearMinus1YearAmt
Current Tax Year$1,247,152CurrentTaxYearAmt
Total$2,846,368TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,990,387PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,017CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,043CurrentTaxYearMinus1YearAmt
Current Tax Year$7,278CurrentTaxYearAmt
Total$18,452TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,017CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,043CurrentTaxYearMinus1YearAmt
Current Tax Year$7,278CurrentTaxYearAmt
Total$18,452TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$751CurrentTaxYearMinus1YearAmt
Current Tax Year$126CurrentTaxYearAmt
Total$1,007TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$770,018CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,030,371CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$850,185CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,409,426CurrentTaxYearMinus1YearAmt
Current Tax Year$1,796,214CurrentTaxYearAmt
Total$5,856,214TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.51060PublicSupportCY509Pct
Public Support PY5090.67500PublicSupportPY509Pct
Investment Income CY0.00320InvestmentIncomeCYPct
Investment Income PY0.00230InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$2,821FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$2,821FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,347,393FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,350,214FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$210,021FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$52,505FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$172,228CurrentYearMinus3Amt
Current Year Minus2$147,584CurrentYearMinus2Amt
Current Year Minus1$189,090CurrentYearMinus1Amt
Current Year$210,021CurrentYearAmt
Total$718,923TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$1,078,385LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,638CurrentYearMinus3Amt
Current Year Minus2$6,669CurrentYearMinus2Amt
Current Year Minus1$1,945CurrentYearMinus1Amt
Current Year$2,821CurrentYearAmt
Total$13,073TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$43,057CurrentYearMinus3Amt
Current Year Minus2$36,896CurrentYearMinus2Amt
Current Year Minus1$47,273CurrentYearMinus1Amt
Current Year$52,505CurrentYearAmt
Total$179,731TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$269,597GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,796,214TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,796,214RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,796,214TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,349,486TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,349,486ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,349,486TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Cross Cultural Community Services
4 Dale StreetPortlandME04102900580603$6,000$0Oral Health Workforce
Maine AAP
30 Association Drive PO Box 190ManchesterME04351204901024$28,000$0Health Integration
Maine Access immigrant Network
237 Oxford Street Suite 25APortlandME04101300239409$25,540$0Oral Health Navigator
MaineHealth
22 Bramhall StreetPortlandME04102010238552$190,000$0From the First Tooth
MCD Global Health
11 Parkwood DriveAugustaME04330016022787$30,465$0Oral Health Navigator
MCD Global Health
11 Parkwood DriveAugustaME04330016022787$73,702$0Virtual Dental Home
University of Maine Augusta
46 University DriveAugustaME04330016000769$5,361$0Virtual Dental Home
Maine Community Foundation
245 Main StreetEllsowrthME04605010391479$17,409$0Maine Oral Health Funders pooled fund
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Children's Oral Health Network of Maine (Network) unites hundreds of organizations and individuals statewide in a shared vision: ensuring that all children in Maine can grow up free from preventable dental disease. Creating a Maine where no child experiences dental disease demands bold solutions, collaborative action, and systems changes on many levels. The Network catalyzes collaboration and innovation in order to ensure that effective prevention, education, and treatment tools reach all children in Maine. Eligibility COHN provides subawards grants to organizations that align with the core strategic priorities: Integrating Oral Health into Primary care Expanding Oral Health in School and Community Settings Transforming Oral Health Systems to Serve all People in Maine COHN works to build capacity across the Network Equity Policy Data Communications Grant recipients must: Have tax exempt status Demonstrate fiscal and administrative stability Deliver services addressing the core strategic priorities or be a member of the network with the goal of building capacity for the 4 project areas. Subgrants recipients are organizations who have been part of the request for proposal made by COHN to acquire the funds or whose demonstrated work aligns with the grant proposal. Monitoring COHN staff and contracted project leaders work collaboratively with the grant recipients to ensure grant objectives are met. Fiscal Accountability COHN provides some unrestricted grants to network partners. COHN is a partner in the work of the network and the grants are funded without further restrictions. Restricted grants, foundation and federal, have a written grant agreement. The leadership of COHN is responsible for monitoring the nonfiscal outcomes of the grant. Grant draws must be approved by the project leadership to ensure that the grants spending is both within the approved budget but also that the work is progressing satisfactorily. Grant draws and reports are submitted timely to the appropriate funder. A status report is maintained for each grant comparing the fiscal expenditures to budget by account category or subaward. Organizations or individuals with contracts or grants over $25,000 are verified against the SAM debarment list if government funded. The organization performs a risk assessment of the internal control environment of restricted grant recipients and monitor accordingly. Additionally, the organization will review the Audited Financial Statements and/or Subrecipients Federal Audit if available.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Eliot Brenner is employed by Klingenstein Philanthropies, where Andrew Klingenstein is the Chairman and CEO.
Form 990, Part VI, Section B, line 11bManagement will review the 990 and the board will review before the 990 is filed.
Form 990, Part VI, Section B, line 12cBoard members are required to complete a conflict of interest form each year. This is reviewed by the board president and any conflicts are resolved.
Form 990, Part VI, Section B, line 15aThe Executive Director compensation is based on comparable salaries paid within the industry. The Board reviews compensation periodically compared to others in the industry.
Form 990, Part VI, Section C, line 19The organization makes it governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gConsulting: Program service expenses 4420. Management and general expenses 0. Fundraising expenses 0. Total expenses 4420. Payroll and other benefits fees: Program service expenses 669. Management and general expenses 0. Fundraising expenses 0. Total expenses 669. Contracted services: Program service expenses 549387. Management and general expenses 0. Fundraising expenses 0. Total expenses 549387.

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