NORTHEAST DELTA DENTAL FOUNDATION INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST DELTA DENTAL FOUNDATION INC (EIN 02-0489150)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-01
IRS object ID
202423069349301207
Schema version
2023v5.1
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)
Return2024-11-01T07:24:50-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 Elm Street Suite 302AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020489150EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeast Delta Dental FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone6032231000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2002AddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033022002ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS RAFFIOPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone6032231000PhoneNum
Signature2024-09-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone6036262200PhoneNum
Preparation2024-09-16PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas RaffioPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2002AddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033022002ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,323,711GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nedelta.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionPromote dental health and education in northern New EnglandActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,278,064PYContributionsGrantsAmt
CY Contributions Grants$1,893,744CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$239,179PYInvestmentIncomeAmt
CY Investment Income$396,380CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,517,243PYTotalRevenueAmt
CY Total Revenue$2,290,124CYTotalRevenueAmt
PY Grants And Similar Paid$503,999PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,350,105CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,347PYOtherExpensesAmt
CY Other Expenses$14,920CYOtherExpensesAmt
PY Total Expenses$517,346PYTotalExpensesAmt
CY Total Expenses$1,365,025CYTotalExpensesAmt
PY Revenues Less Expenses$999,897PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$925,099CYRevenuesLessExpensesAmt
Total Assets BOY$10,442,324TotalAssetsBOYAmt
Total Assets EOY$12,527,755TotalAssetsEOYAmt
Total Liabilities BOY$213,817TotalLiabilitiesBOYAmt
Total Liabilities EOY$188,817TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,228,507NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,338,938NetAssetsOrFundBalancesEOYAmt
MissionTo promote dental health and education in northern New England.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$962,005ExpenseAmt
Grant$962,005GrantAmt
DescDental Equipment and Supplies: Cash donations to 44 nonprofit dental clinics to purchase dental equipment and supplies to serve patients who cannot afford dental care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$383,100ExpenseAmt
Grant$383,100GrantAmt
DescOral Health Education Programs and Public Policy Development: Cash donations to 18 organizations to sponsor oral health education programs. Donations of printed materials and supplies to schools, nonprofit dental clinics, and other organizations to provide oral health education programs.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,000ExpenseAmt
Grant$5,000GrantAmt
DescIn-School Programs for Children: Cash donations to one organization, to sponsor in-school education programs on fluoride rinse or sealants for children.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,350,105TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer McGrathBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032231000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o One Delta DriveAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033022002ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Grace Odimayo DMD
Director0.50Yes (X)$0$0$0
David B Solomon DDS
Director0.50Yes (X)$0$0$0
David B Staples DDS
Director0.50Yes (X)$0$0$0
Jeffrey R Walawender DDS
Director0.50Yes (X)$0$0$0
Terence A Wardrop
Director0.50Yes (X)$0$0$0
Jason Williams
Director0.50Yes (X)$0$0$0
Thomas Raffio
President & Director2.00Yes (X)$0$0$0Yes (X)
Melvin J Severance III
Chair & Director0.50Yes (X)$0$0$0Yes (X)
Jennifer L McGrath
Treasurer6.00$0$0$0Yes (X)
Siobhan Hutchinson
Secretary1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$6,133FundraisingAmt
All Other Contributions$1,887,611AllOtherContributionsAmt
Total Contributions$1,893,744TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$396,380TotalRevenueColumnAmt
Exclusion$396,380ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$28,734FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$6,133ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,587FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,853TotalRevenueColumnAmt
Exclusion-$4,853ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$4,853GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,853TotalRevenueColumnAmt
Exclusion$4,853ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,290,124TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$396,380ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,350,105TotalAmt
Program Services$1,350,105ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,975TotalAmt
Management And General$2,975ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,744TotalAmt
Management And General$10,744ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,126TotalAmt
Management And General$1,126ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescBank Service ChargesDesc
Total$75TotalAmt
Management And General$75ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,365,025TotalAmt
Program Services$1,350,105ProgramServicesAmt
Management And General$14,920ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,031,008BOYAmt
EOY$413,666EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$904,100BOYAmt
EOY$1,516,500EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,507,216BOYAmt
EOY$10,597,589EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,442,324BOYAmt
EOY$12,527,755EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$213,817BOYAmt
EOY$188,817EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$213,817BOYAmt
EOY$188,817EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,178,507BOYAmt
EOY$12,288,938EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,228,507BOYAmt
EOY$12,338,938EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,442,324BOYAmt
EOY$12,527,755EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$925,099ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,185,332NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$500,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,715,901CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,988,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,288,438CurrentTaxYearMinus1YearAmt
Current Tax Year$1,898,597CurrentTaxYearAmt
Total$7,392,059TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$500,475CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,715,901CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,988,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,288,438CurrentTaxYearMinus1YearAmt
Current Tax Year$1,898,597CurrentTaxYearAmt
Total$7,392,059TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$6,485,936SubstantialContributorsTotAmt
Public Support Total170$906,123PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$167,542CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$422,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$239,179CurrentTaxYearMinus1YearAmt
Current Tax Year$396,380CurrentTaxYearAmt
Total$1,352,224TotalAmt
FieldValueIRS element (for citing)
Total Support$8,744,283TotalSupportAmt
Public Support CY1700.10360PublicSupportCY170Pct
Public Support PY1700.11040PublicSupportPY170Pct
Private Foundation170Yes (X)PrivateFoundation170Ind
Facts And Circumstances TestThe Organization meets the Facts and Circumstances Test for the following reasons:1.) Through its activities, the Organization regularly and continuously benefits many thousands of members of the general public;2.) The Organization encourages donations from the general public through the website of Northeast Delta Dental (a group of nonprofit organizations) and through other means; and3.) The Organization's Board does not represent any narrow interests and is committed to representing all of the citizens of Northern New England who are most in need of dental care assistance.FactsAndCircumstancesTestTxt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II, Section A, Line 1FormAndLineReferenceDesc
ExplanationLine 1 includes $20,573 as a very conservative estimate of the amount of annual in-kind non-cash contributions which are not included on the organization's books received over the past five years. The 2023 estimate for in-kind non-cash contributions is $4,853. Any net retained fundraising contributions were support from the general public.ExplanationTxt

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,461,382BeginningYearBalanceAmt
Contributions$1,516,500ContributionsAmt
Investment Earnings Or Losses$1,575,266InvestmentEarningsOrLossesAmt
Other Expenditures$388,975OtherExpendituresAmt
End Year Balance$12,164,173EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,206,100BeginningYearBalanceAmt
Contributions$904,100ContributionsAmt
Investment Earnings Or Losses-$1,307,385InvestmentEarningsOrLossesAmt
Other Expenditures$341,433OtherExpendituresAmt
End Year Balance$9,461,382EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,948,027BeginningYearBalanceAmt
Contributions$1,640,700ContributionsAmt
Investment Earnings Or Losses$1,097,782InvestmentEarningsOrLossesAmt
Other Expenditures$480,409OtherExpendituresAmt
End Year Balance$10,206,100EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,473,499BeginningYearBalanceAmt
Contributions$1,218,500ContributionsAmt
Investment Earnings Or Losses$533,990InvestmentEarningsOrLossesAmt
Other Expenditures$277,962OtherExpendituresAmt
End Year Balance$7,948,027EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,618,830BeginningYearBalanceAmt
Contributions$150,000ContributionsAmt
Investment Earnings Or Losses$954,181InvestmentEarningsOrLossesAmt
Other Expenditures$249,512OtherExpendituresAmt
End Year Balance$6,473,499EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99500BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00500TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationTo help ensure that the Foundation can continue to promote dental health and education in Northern New England.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$34,867GrossReceiptsEvent1Amt
Charitable Contri Event1$6,133CharitableContriEvent1Amt
Gross Revenue Event1$28,734GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,982RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,255FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$15,350OtherDirectExpensesEvent1Amt
Gross Receipts Total$34,867GrossReceiptsTotalAmt
Charitable Contributions Tot$6,133CharitableContributionsTotAmt
Gross Revenue Total Events$28,734GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,982RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,255FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$15,350OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,587DirectExpenseSummaryEventsAmt
Net Income Summary-$4,853NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Community Dental
190 Park AvenuePortlandME04102237129502501(c)(3)$155,350$0Dental equipment
Trustees of Tufts College (Tufts University School of Dental Medicine)
20 Professors RowMedfordMA02155042103634501(c)(3)$150,000$0Dental students mentorship program
Mainely Teeth
166 Regan LanePortlandME04103874255473501(c)(3)$100,000$0Mobile dental clinic waiting list
Mid-State Health Center
101 Boulder Point Drive Suite 1PlymouthNH03864020487172501(c)(3)$93,359$0$34,0000 for equipment for clinic in Littleton; $59,359 for Endodontist equipment
Autism Speaks
1060 State Road 2nd FloorPrincetonNJ08540202329938501(c)(3)$85,000$0Online oral health tool kit
Saving People's Smiles Dental Center
194 Pleasant Street Suite 6ConcordNH03301272627267501(c)(3)$75,000$0Wally's War Against Addiction program for patients in recovery
MaineGeneral Medical Center
35 Medical Center ParkwayAugustaME04330043369653501(c)(3)$64,669$0Dental equipment and support for medical assistant
New York University College of Dentistry
70 Washington Square SouthNew YorkNY10012135562308501(c)(3)$50,000$0Student dental outreach program in Machias
Littleton School District - Hugh J Gallen Career Technology Center
159 Oak Hill AvenueLittletonNH03561026000497Gov$50,000$0Equipment and fit-up for dental assisting career training program
North American Family Institute (NFI)
40 Park LaneContoocookNH03229043161042501(c)(3)$50,000$0Dental health flex fund
Mount Desert Island Hospital
10 Wayman LandBar HarborME04609010211797501(c)(3)$22,990$0Dental Equipment
National Foundation of Dentistry for the Handicapped
1800 15th Street Suite 100DenverCO80202900292580501(c)(3)$20,000$0Dental Lifeline Network of NH; donated dental services program support
Sullivan County Oral Health Collaborative
1 Tremont StreetClaremontNH03743680662886501(c)(3)$20,000$0Dental equipment
Vermont State Dental Society
1 Kennedy Drive Suite L3South BurlingtonVT05403222514423501(c)(3)$20,000$0Dental auxiliary recruitment program
Wentworth-Douglass Hospital
789 Central AvenueDoverNH03820510491062501(c)(3)$20,000$0Cancer patient dentistry program at dental center
Crotched Mountain Foundation
186 Granite Street Suite 3CManchesterNH03101020222168501(c)(3)$19,200$0Community care oral health care program
New Hampshire Public Health Association
4 Park Street Suite 403ConcordNH03301020453814501(c)(3)$15,500$0New Hampshire Oral Health Coalition
Brigid's House of Hope
18 Loudon Road 3836ConcordNH03301825246296501(c)(3)$15,000$0Dental care fund for residents
Catholic Charities of Maine
PO Box 10660PortlandME04104010280225501(c)(3)$15,000$0Dental equipment for Jesse Albert Dental and Orthodontic Center
Concord Hospital Trust
250 Pleasant StreetConcordNH03301222594672501(c)(3)$15,000$0Pledge support for dental center
National Foundation of Dentistry for the Handicapped
PO Box 3487ConcordNH033023487900292580501(c)(3)$15,000$0Dental Lifeline Network of NH; donated dental services program support
VFW Post 816
600 Cottage StreetLittletonNH03561020217171501(c)(19)$15,000$0Littleton Veteran's Dental program
National Foundation of Dentistry for the Handicapped
PO Box 2282AugustaME043382282841533658501(c)(3)$12,500$0Dental Lifeline Network of ME; donated dental services program support
Harrington Family Health Center
50 E Main StreetHarringtonME04643010409494501(c)(3)$10,755$0Dental equipment
Dismas Home of New Hampshire
102 Fourth StreetManchesterNH03102472722572501(c)(3)$10,000$0Dental care fund for clientele
Farmsteads of New England
213 Center RoadHillsboroughNH03244020517433501(c)(3)$10,000$0Dental Care for low-income adults with disabilities
Good Neighbor Health Clinic
70 N Main StreetWhite River JunctionVT05001030346949501(c)(3)$10,000$0Red Logan Dental Clinic dental extern student housing stipends
Greater Nashua Dental Connection
31 Cross StreetNashuaNH03064020500866501(c)(3)$10,000$0Dental equipment and supplies
Greater Seacoast Community Health Foundation
311 Route 108SomersworthNH03872020304203501(c)(3)$10,000$0Support for oral care of the patients
Harbor Homes (Harbor Care Health and Wellness Center)
77 Northeastern BoulevardNashuaNH03062020351932501(c)(3)$10,000$0Support for care of dental centers patients
Hope on Haven Hill
PO Box 1272RochesterNH03866474623824501(c)(3)$10,000$0Dental assistance fund for clientele
Northeast Washington County Community Health Inc - The Health Center
PO Box 320PlainfieldVT05667030240129501(c)(3)$10,000$0Dental equipment for use in OR
The Friends of NH Drug Courts
100 North Main Street Suite 400ConcordNH03301260899302501(c)(3)$10,000$0Dental care for program participants
University of Vermont Medical Center
111 Colchester AvenueBurlingtonVT05401030219309501(c)(3)$10,000$0General practice dental residency program
Windham County Dental CenterUnited Way of Windham County - Fiscal Agent
PO Box 617BrattleboroVT05302853639751501(c)(3)$10,000$0School to dentist referral program
Center for Technology Essex Dental Assisting Program
2 Educational Drive Suite 200Essex JunctionVT05452812070986Gov$8,100$0Dental equipment
MaineHealth - Waldo County Dental Care
125 Northport Avenue Suite 107BelfastME04915010238552501(c)(3)$7,679$0Dental equipment
University of NH Foundation - Institute on Disability
9 Edgewood RoadDurhamNH03824020437506501(c)(3)$7,500$0Leadership Series for individuals with disabilities and their family members
Penobscot Community Health Center Inc
103 Maine Avenue PO Box 2100BangorME04402010514750501(c)(3)$7,117$0Dental equipment
Town of Hartford School District - Career & Technology Center
1 Gifford RoadWhite River JunctionVT05001036000504Gov$7,000$0Dental assisting career training program
Ronald McDonald House Charities of Burlington
16 S Winooski AvenueBurlingtonVT05401030287584501(c)(3)$6,786$0Dental equipment
One Sky Community Service
755 Banfield RoadPortsmouthNH03801020368955501(c)(3)$6,000$0Support for dental portion of readiness fund for clientele
FieldValueIRS element (for citing)
Total501c3 Org41Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationDonation recipients are required to send a report annually detailing how the money was spent, using statistics of patients served, utilization of machinery, or other specifics. These reports are monitored by the Foundation Treasurer who tracks the receipt of the annual reports.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The Foundation has three members: Delta Dental Plan of New Hampshire, Inc.; Delta Dental Plan of Vermont, Inc.; and Maine Dental Services Corporation. All three members are tax-exempt under Internal Revenue Code Section 501(c)(4).
Form 990, Part VI, Section A, line 7aThe members elect the Foundation's Board of Directors.
Form 990, Part VI, Section A, line 7bIn addition to electing the Board of Directors, the members have the power to remove directors, repeal or change bylaws by 2/3rd member vote (Board has primary authority to amend bylaws), and to dissolve the Corporation by 2/3rd member vote.
Form 990, Part VI, Section B, line 11bThe Form 990 is reviewed in detail by key finance employees of Northeast Delta Dental. A final draft is presented to the Board before the Form 990 is filed.
Form 990, Part VI, Section B, line 12cA copy of the conflict of interest policy is distributed annually to all officers, directors, and the management team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. General Counsel reviews the returned policies and reports the results to the entire Board of Directors. Board members are asked to provide updates of any changes that may occur between their annual conflict of interest filings.
Form 990, Part VI, Section C, line 19Upon request, Northeast Delta Dental Foundation makes its governing documents, conflict of interest policy, or financial statements available to the public.

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