2023-09-04T13:16:02-05:00 2022-06-30 205824233 DAVE V JOHN LLC 4788 WEST COMMERCIAL BLVD TAMARAC FL 33319 990 2021-07-01 342012430 PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST INC % TARA GOOD-YOUNG PEDI 7078376560 1380 19TH HOLE DRIVE Windsor CA 95492 TARA GOOD-YOUNG EXECUTIVE DIRECTOR 7078386560 2023-09-04 false TARA GOOD-YOUNG 999009999 DAVE V JOHN P00063077 9547358855 2023-09-04 0 IAL1 2021 2023-04-26 12:10:37Z PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST IN 1380 19TH ST HOLE DRIVE WINDSOR CA 95492 5098725 false X X 2004 CA SEE SCHEDULE O 8 8 31 15 0 793573 829893 3434649 4214438 122801 54394 51751 0 4402774 5098725 0 0 1526934 1584727 0 168384 2511665 2857417 4038599 4442144 364175 656581 5988064 6302132 577200 664828 5410864 5637304 TO DELIVER SAFE, HIGH QUALITY, AND SPECIALIZED DENTAL TREATMENT TO UNDERSERVE YOUTH AND PROMOTE ORAL HEALTH THROUGH EDUCATION TO COMMUNITIES OF NORTH CALIFORNIA false false 3941012 4268832 SEE SCHEDULE "O" 3941012 true true false false false false false false false false true true false true true true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 40 0 true 31 true false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true false false PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST IN 7078378833 1380 19TH ST HOLE DRIVE WINDSOR CA 95492 JULIE TUCKER DIR OF CLINICAL SVCS 40.00 X 170955 0 0 JEN STASCH EXECUTIVE DIRECTOR 40.00 X 0 0 0 SURANI KWAN CHAIRMAN 2.000 X 0 0 0 ANDREW MCCORMICK TREASURER 2.000 X 0 0 0 KRISTEN JOHNSON DIRECTOR 2.000 X 0 0 0 ANTONIO PEREZLICEA DIRECTOR 2.000 X 0 0 0 LYNNE FAULKS DIRECTOR 2.000 X 0 0 0 HUGO MATA DIRECTOR 2.000 X 0 0 0 170955 1 false true false 829893 829893 PROGRAM FEES 4214438 4214438 4214438 54394 54394 0 5098725 4268832 X 1584727 1314459 165109 105159 48545 31554 12887 4104 5791 831 4194 766 235532 138424 52037 45071 202168 176957 25211 6893 6893 42180 6616 35564 PROFESSIONAL FEES 1653512 1603931 36372 13209 REPAIR AND MAINTENANCE 115332 115332 PROGRAM EXPENSE 31796 31721 75 SUPPLIES AND EQUIPMENT 515668 514294 1374 4442144 3941012 332748 168384 572790 1275854 346319 361462 351669 25000 25000 108667 116088 34486 18416 1228363 1125756 111041 102607 2025472 2050235 2402827 1981600 380663 5988064 6302132 282898 286150 294302 378678 577200 664828 X 5130864 3572769 280000 2064535 5410864 5637304 5988064 6302132 656581 -430141 X false false false X 569273 548955 149140 793573 829893 2890834 569273 548955 149140 793573 829893 2890834 2890834 51125 61323 79974 68781 54394 315597 15605 -6438 -26272 54020 36915 3243346 0.89131 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 861579 861579 58188 41623 16565 308596 222554 86042 102607 1981600 1981600 OPERATING LEASE RIGHT OF USE ASSETS 367707 SECURITY DEPOSIT 12956 380663 OPERATING LEASE LIABILITY 378678 378678 4668584 -430141 -430141 5098725 5098725 P10, Ln 2 PDI IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER P10, Ln 2 SECTION 501(C)(3) AND CALIFORNIA FRANCHISE TAX BOARD SECTION P10, Ln 2 23701D. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN P10, Ln 2 MADE IN THE ACCOMPANY FINANCIAL STATEMENTS. IN ADDITION, P10, Ln 2 THE INTERNAL REVENUE SERVICES HAS DETERMINED PDI IS NOT P10, Ln 2 A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) P10, Ln 2 OF THE INTERNAL REVENUE CODE. P10, Ln 2 MANAGEMENT OF PDI CONSIDERS THE LIKELIHOOD OF CHANGES BY P10, Ln 2 THE TAXING AUTHORITIES IN ITS FILED TAX RETURNS AND P10, Ln 2 RECOGNIZES A LIABILITY FOR OR DISCLOSES POTENTIAL P10, Ln 2 SIGNIFICANT IF MANAGEMENT BELIEVES IT IS MORE LIKELY P10, Ln 2 THAN NOT FOR A CHANGE TO OCCUR, INCLUDING CHNAGES TO PDI'S P10, Ln 2 STATUS AS A NOT-FOR-PROFIT ENTITY, MANAGEMENT BELIEVES P10, Ln 2 PDI MET THE REQUIREMENT TO MAINTAIN ITS TAX EXEMPT STATUS P10, Ln 2 AND HAS NOT INCOME SUBJECT UNRELATED BUSINESS INCOME TAX; X X X false false false false false false false false false JULIE TUCKER DIR OF CLINICAL SVCS 170955 170955 JEN STASCH EXECUTIVE DIRECTOR SURANI KWAN CHAIRMAN ANDREW MCCORMICK TREASURER KRISTEN JOHNSON DIRECTOR ANTONIO PEREZLICEA DIRECTOR LYNNE FAULKS DIRECTOR HUGO MATA DIRECTOR Part VI Line 11b SEE SCHEDULE "O" Part VI Line 19 DOCUMENTS ARE AVAILBLE UPON REQUEST PT111, LINE 4 TO DELIVER SAFE, HIGH QUALITY , AND SPECIALIZED DENTAL TREATMENT PT111, LINE 4 TO UNDERSERVED YOUTH AND PROMOTE ORAL HEALTH THROUGH EDUCATION PT111, LINE 4 TO COMMUNITIES OF NORTHERN CALIFORNIA. PT111, LINE 4 PDI PROMOTES PROGRAMS WITH THE FOLLOWING GOALS; PT111, LINE 4 PROVIDE ORAL HEALTH EDUCATION TO NORTHERN CALIFORNIA FAMILIES PT111, LINE 4 WITH CHILDREN. ENSURE THAT CHILDREN WITH DENTAL DECAY RECEIVE PT111, LINE 4 PROMPT TREATMENT AND PROVIDE THE PARENTS WITH NECESSARY TOOLS AND PT111, LINE 4 INFORMATION TO MAINTAIN HEALTHY TEETH AND ASSIST FAMILIES TO FIND A PT111, LINE 4 DENTAL HOME FOR THEIR CHILDREN. PDI DIRECTLY TREATED 1484 PT111, LINE 4 CHILDREN. 100% OF THE ORGANIZATION PATIENTS PT111, LINE 4 COME TO PDI ARE SUFFERING FROM SEVERE TOOTH DECAY, 97% OF THE PATIENTS PT111, LINE 4 ARE RESIDING IN VEY LOW INCOME HOUSEHOLD, 80% OF THE PATIENTS ARE PT111, LINE 4 FROM COMMUNITIES OF COLOR, 15% OF THE PATIENTS HAVE SPECIAL NEEDS AND PT111, LINE 4 AND 9% OF THE PATIENTS ARE FROM INDIGENOUS COMMUNITIES.DURING THE PT111, LINE 4 YEAR THE ORGANIZATION ASSISTED 5427 PARENTS WITH ORAL HEALTH PT111, LINE 4 EDUCATION AND RESOURCES, 8048 DENTAL HYGIENE KITS WERE DISTRIBUTED TO PT111, LINE 4 ADULTS AND CHILDREN IN THE COMMUNITY AND 1438 HEALTHY FOOD BAGS PT111, LINE 4 WERE GIVEN TO FAMILIES. THE ORGANIZATION DOES NOT TURN AWAY PT111, LINE 4 ANY CHILD THAT REQUIRES DENTAL TREATMENT OR SURGERY UNDER GENERAL PT111, LINE 4 ANESTHESIA FOR A FAMILY INABILITY TO PAY.