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FIJI DENTAL AND MEDICAL FOUNDATION INC: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FIJI DENTAL AND MEDICAL FOUNDATION INC (EIN 46-0864415)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-16
IRS object ID
202322899349201977
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)
Return2023-10-16T12:22:01-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN812737245PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOPEZ ACCOUNTING GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13500 WEST OLIVE AVENUE SUITE 680AddressLine1Txt
CityBURBANKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91505ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460864415EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIJI DENTAL AND MEDICAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIJIBusinessNameControlTxt
Phone6508144363PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 887AddressLine1Txt
CityHERMOSA BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90254ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonABRAHAM J ESTESSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6508144363PhoneNum
Signature2023-10-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstABRAHAMPersonFirstNm
Person LastESTESSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUAN P LOPEZ CPAPreparerPersonNm
PTINP01367411PTIN
Phone8188407075PhoneNum
Preparation2023-10-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressHTTPS://WWW.FIJIDENTALMEDICAL.ORG/WebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$122,481GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$122,481ContributionsGiftsGrantsEtcAmt
Total Revenue$122,481TotalRevenueAmt
Printing Publications Postage$400PrintingPublicationsPostageAmt
Other Expenses Total$192,819OtherExpensesTotalAmt
Total Expenses$193,219TotalExpensesAmt
Excess Or Deficit For Year-$70,738ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$199,729NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$24,231OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$104,760NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$175,498BOYAmt
EOY$105,056EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$27,052BOYAmt
EOY$0EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$202,550BOYAmt
EOY$105,056EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,821BOYAmt
EOY$296EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$199,729BOYAmt
EOY$104,760EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeFIJI DENTAL AND MEDICAL FOUNDATION, INC.'S MISSION IS TO PROMOTE DENTAL AND MEDICAL HEALTH IN THE MAMANUCA ISLAND CHAIN OF FIJI THROUGH PREVENTION EDUCATION, AND RESTORATION. THE ORGANIZATION'S PRIMARY PROGRAM PROVIDES DENTAL AND MEDICAL CLINICS.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROCURED A LONG TERM SOLUTION FOR OUR FREE DENTAL CLINIC FACILITY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$171,717ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$171,717TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
GREG HERD
PRESIDENT16.00$0$0$0
MARK BROWN
SECRETARY16.00$0$0$0
GREG MOEGLING
TREASURER16.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonABRAHAM J ESTESSPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 887AddressLine1Txt
CityHERMOSA BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90254ZIPCd
FieldValueIRS element (for citing)
Phone6508144363PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

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$136,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$84,554CurrentTaxYearMinus1YearAmt
Current Tax Year$122,581CurrentTaxYearAmt
Total$480,479TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$136,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$84,554CurrentTaxYearMinus1YearAmt
Current Tax Year$122,581CurrentTaxYearAmt
Total$480,479TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$125,690SubstantialContributorsTotAmt
Public Support Total170$354,789PublicSupportTotal170Amt
Total Support$480,479TotalSupportAmt
Public Support CY1700.73840PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: BANK CHARGES. AMOUNT: 32. DESCRIPTION: DUES & SUBSCRIPTIONS. AMOUNT: 144. DESCRIPTION: INSURANCE. AMOUNT: 2,445. DESCRIPTION: LICENSE. AMOUNT: 500. DESCRIPTION: MEALS. AMOUNT: 2,249. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 61. DESCRIPTION: PROGRAM EXPENSES. AMOUNT: 21,494. DESCRIPTION: TAXES. AMOUNT: 50. DESCRIPTION: TELEPHONE. AMOUNT: 70. DESCRIPTION: TRAVEL. AMOUNT: 165,774. TOTAL TO FORM 990-EZ, LINE 16: 192,819.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: PRIOR PERIOD ADJUSTMENT. AMOUNT: -24,231.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: OTHER ASSETS. BEG. OF YEAR AMOUNT: 27,052. END OF YEAR AMOUNT: 0.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: CREDIT CARD PAYABLE. BEG. OF YEAR AMOUNT: 2,821. END OF YEAR AMOUNT: 296.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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