SAMARITAN DENTAL FOUNDATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN DENTAL FOUNDATION (EIN 86-3545741)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-14
IRS object ID
202412889349301206
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)
Return2024-10-14T09:11:22-04:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383074311PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOTITO & LAZZARA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line122525 HALL RD STE AAddressLine1Txt
CityMACOMBCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48042ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN863545741EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN DENTAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMABusinessNameControlTxt
Phone2483801811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W MAIN STREET SUITE 106AddressLine1Txt
CityGAYLORDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49735ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRYAN B MCMAHANPersonNm
Person TitleOFFICERPersonTitleTxt
Phone2483801811PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIM COWLEY CPAPreparerPersonNm
PTINP01466960PTIN
Phone5864680200PhoneNum
Preparation2024-10-11PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRYAN B MCMAHANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15142 WAH WAH SOO DRIVEAddressLine1Txt
CityGAYLORDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49735ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$153,175GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscFOUNDATIONOtherOrganizationDsc
Formation2021FormationYr
Activity Or MissionTO PROVIDE ACCESS TO DENTAL CARE TO UNDERSERVED PERSONS AND COMMUNITIES AS WELL AS TO PROVIDE ACCESS TO EDUCATIONAL OPPORTUNITIES FOR STUDENTS WITHIN THE DENTAL FIELD WHO ARE PASSIONATE ABOUT MEETING THE DENTAL NEEDS OF UNDERSERVED PERSONS.ActivityOrMissionDesc
Voting Members Governing Body0VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$998,255PYContributionsGrantsAmt
CY Contributions Grants$140,212CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$926PYInvestmentIncomeAmt
CY Investment Income$12,963CYInvestmentIncomeAmt
PY Other Revenue-$31,690PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$965,639PYTotalRevenueAmt
CY Total Revenue$153,175CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,599CYTotalFundraisingExpenseAmt
PY Other Expenses$26,025PYOtherExpensesAmt
CY Other Expenses$39,755CYOtherExpensesAmt
PY Total Expenses$26,025PYTotalExpensesAmt
CY Total Expenses$39,755CYTotalExpensesAmt
PY Revenues Less Expenses$939,614PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$113,420CYRevenuesLessExpensesAmt
Total Assets BOY$937,681TotalAssetsBOYAmt
Total Assets EOY$103,614TotalAssetsEOYAmt
Total Liabilities EOY$508TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$937,681NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$103,106NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE ACCESS TO DENTAL CARE TO UNDERSERVED PERSONS AND COMMUNITIES AS WELL AS TO PROVIDE ACCESS TO EDUCATIONAL OPPORTUNITIES FOR STUDENTS WITHIN THE DENTAL FIELD WHO ARE PASSIONATE ABOUT MEETING THE DENTAL NEEDS OF UNDERSERVED PERSONS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescTO PROVIDE ACCESS TO DENTAL CARE TO UNDERSERVED PERSONS AND COMMUNITIES AS WELL AS TO PROVIDE ACCESS TO EDUCATIONAL OPPOTUNITIES FOR SSTUDENTS WITHIN THE DENTAL FIELD WHO ARE PASSIONATE ABOUT MEETING THE DENTAL NEEDS OF UNDERSERVED PERSONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$15,539ExpenseAmt
DescTHE FOUNDATION TRAVELED TO GAIN KNOWLEDGE ON EXECUTING THE PURPOSE OF THE COPORATION.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$15,539TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$15,539TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 OrganizationsfalseGrantsToOrganizationsInd
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 EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Governing Body Voting Members0GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRYAN B MCMAHANPersonNm
Phone2483801811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15142 WAH WAH SOO DRIVEAddressLine1Txt
CityGAYLORDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49735ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp

FieldValueIRS element (for citing)
PersonRYAN B MCMAHANPersonNm
TitleOFFICERTitleTxt
OfficerYes (X)OfficerInd
Reportable Comp From Org$0ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$140,212AllOtherContributionsAmt
Total Contributions$140,212TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,733TotalRevenueColumnAmt
Related Or Exempt Func Income$3,733RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$9,230OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$9,230OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,230TotalRevenueColumnAmt
Related Or Exempt Func Income$9,230RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,175TotalRevenueColumnAmt
Related Or Exempt Func Income$12,963RelatedOrExemptFuncIncomeAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$135TotalAmt
Management And General$135ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$510TotalAmt
Management And General$510ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$90TotalAmt
Management And General$90ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$229TotalAmt
Program Services$229ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$643TotalAmt
Management And General$643ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,420TotalAmt
Management And General$5,420ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,800TotalAmt
Program Services$8,602ProgramServicesAmt
Management And General$8,599ManagementAndGeneralAmt
Fundraising$8,599FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,708TotalAmt
Program Services$6,708ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBANK CHARGESDesc
Total$220TotalAmt
Management And General$220ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$39,755TotalAmt
Program Services$15,539ProgramServicesAmt
Management And General$15,617ManagementAndGeneralAmt
Fundraising$8,599FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$72,355BOYAmt
EOY$22,848EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$865,326BOYAmt
EOY$80,766EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$937,681BOYAmt
EOY$103,614EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$508EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$508EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$937,681BOYAmt
EOY$103,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$937,681BOYAmt
EOY$103,106EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$937,681BOYAmt
EOY$103,614EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$113,420ReconcilationRevenueExpnssAmt
Prior Period Adjustments$2,936PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$950,931OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$998,255CurrentTaxYearMinus1YearAmt
Current Tax Year$140,212CurrentTaxYearAmt
Total$1,139,967TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-$14,188CurrentTaxYearMinus1YearAmt
Current Tax Year$3,733CurrentTaxYearAmt
Total-$10,455TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$984,067CurrentTaxYearMinus1YearAmt
Current Tax Year$143,945CurrentTaxYearAmt
Total$1,129,512TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,129,512PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$984,067CurrentTaxYearMinus1YearAmt
Current Tax Year$143,945CurrentTaxYearAmt
Total$1,129,512TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINVESTMENTS - GV BLACK CAPITAL FUNDDesc
Book Value$80,766BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$80,766TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARDSDesc
Amt$508Amt
FieldValueIRS element (for citing)
Total Liability$508TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO PROVIDE ACCESS TO DENTAL CARE TO UNDERSERVED PERSONS AND COMMUNITIES AS WELL AS TO PROVIDE ACCESS TO EDUCATIONAL OPPORTUNITIES FOR STUDENTS WITHIN THE DENTAL FIELD WHO ARE PASSIONATE ABOUT MEETING THE DENTAL NEEDS OF UNDERSERVED PERSONS.
FORM 990, PAGE 2, PART III, LINE 4DTHE FOUNDATION TRAVELED TO GAIN KNOWLEDGE ON EXECUTING THE PURPOSE OF THE COPORATION.
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9SEC 1256 LOSS -945,888 OTHER DEDUCTIONS -5,043 TOTAL -950,931

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.