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GEORGIA DENTAL ASSOCIATION FOUNDATION FOR ORAL HEALTH INC: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
GEORGIA DENTAL ASSOCIATION FOUNDATION FOR ORAL HEALTH INC (EIN 27-3194544)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202303189349202510
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)
Return2023-11-14T08:54:50-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861878948PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOBLOLLY SOLUTIONSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14780 ASHFORD DUNWOODY RD ST 540-431AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30338ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273194544EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGIA DENTAL ASSOCIATION FOUNDATIONBusinessNameLine1Txt
Business Name Line2FOR ORAL HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone4046367553PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11850 PARKWAY PLACE 420AddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30067ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANK J CAPALDOPersonNm
Person TitleCEOPersonTitleTxt
Phone4046367553PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstFRANKPersonFirstNm
Person LastCAPALDOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN MUIAPreparerPersonNm
PTINP01222323PTIN
Phone7062605191PhoneNum
Preparation2023-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressHTTPS://WWW.GADENTAL.ORG/GDA-FOUNDATIONWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$128,094GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$125,334ContributionsGiftsGrantsEtcAmt
Investment Income$2,760InvestmentIncomeAmt
Total Revenue$128,094TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$750FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$6,392PrintingPublicationsPostageAmt
Other Expenses Total$97,418OtherExpensesTotalAmt
Total Expenses$104,560TotalExpensesAmt
Excess Or Deficit For Year$23,534ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$208,027NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets-$5,323OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$226,238NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$207,440BOYAmt
EOY$222,067EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$6,541BOYAmt
EOY$7,042EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$213,981BOYAmt
EOY$229,109EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,954BOYAmt
EOY$2,871EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$208,027BOYAmt
EOY$226,238EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO IMPROVE ORAL HEALTH OF GEORGIANS THROUGH OUTREACH PROGRAMS THAT PROVIDE COMPREHENSIVE ORAL HEALTH EDUCATION AND DENTAL CARE TO GEORGIANS IN NEED.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTHE FOUNDATION IMPROVES THE IMAGE OF DENTISTRY THROUGH HIGHLIGHTING THE IMPACT ON INDIVIDUAL LIVES PROVIDED BY DENTISTS COMMITTED TO THE HEALING AND OVERALL WELLBEING OFPATIENTS. ONE OF THE WAYS THIS IS ACCOMPLISHED THROUGH THE GEORGIA MISSION OF MERCY CHARITABLE INITIATIVE - A TWO-DAY, NO CHARGE DENTAL CLINIC SPONSORED BY THE FOUNDATION, WHICH PROVIDES IMMEDIATE, FREE ACCESS TO DENTAL CARE FOR OVER 2,000 LOW AND NO INCOME ADULTS.EDUCATION IS PROVIDED TO PATIENTS AND THEIR FAMILY MEMBERS ABOUT THE IMPORTANCE OF OPTIMAL ORAL HEALTH AND SECURING A DENTAL HOME. THIS RAISES AWARENESS OF THE BARRIERS TO AVAILABLE DENTAL TREATMENT FOR LOW-INCOME GEORGIANS AND CHALLENGES PATIENTS, POLICYMAKERS AND DENTAL PROFESSIONALS TO WORK TOGETHER TO IMPROVE THE ORAL HEALTH OF ALL GEORGIANS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$80,215ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$80,215TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BEN JERNIGAN
CHAIR2.00$0$0$0
TOM BRODERICK
SECRETARY2.00$0$0$0
JAY PHILLIPS
TREASURER2.00$0$0$0
DAVID BRADBERRY
DIRECTOR1.00$0$0$0
RYAN VAUGHN
DIRECTOR1.00$0$0$0
KARYN STOCKWELL
DIRECTOR1.00$0$0$0
AMBER LAWSON
GDA TREASURER1.00$0$0$0
BILL BACHAND
DIRECTOR1.00$0$0$0
ERIK WELLS
DIRECTOR1.00$0$0$0
CAROL WOLFF
DIRECTOR1.00$0$0$0
ROBIN REICH
DIRECTOR1.00$0$0$0
SIDNEY TOURIAL
DIRECTOR1.00$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 FldGAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA VANZANDTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11850 PARKWAY PLACE STE 420AddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30067ZIPCd
FieldValueIRS element (for citing)
Phone4046367553PhoneNum
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$417,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,504CurrentTaxYearMinus1YearAmt
Current Tax Year$125,335CurrentTaxYearAmt
Total$836,388TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,888CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,504CurrentTaxYearMinus1YearAmt
Current Tax Year$125,335CurrentTaxYearAmt
Total$836,388TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$15,258SubstantialContributorsTotAmt
Public Support Total170$821,130PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$2,760CurrentTaxYearAmt
Total$2,760TotalAmt
FieldValueIRS element (for citing)
Total Support$839,148TotalSupportAmt
Public Support CY1700.97850PublicSupportCY170Pct
Public Support PY1700.97810PublicSupportPY170Pct
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INVESTMENT INTEREST INCOME. AMOUNT: 2,760.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: OFFICE EXPENSES. AMOUNT: 1,366. DESCRIPTION: INSURANCE. AMOUNT: 1,513. DESCRIPTION: INFORMATION TECHNOLOGY. AMOUNT: 1,655. DESCRIPTION: STAFF SUPPORT. AMOUNT: 75,894. DESCRIPTION: OTHER EVENTS. AMOUNT: 14,871. DESCRIPTION: FEES. AMOUNT: 2,119. TOTAL TO FORM 990-EZ, LINE 16: 97,418.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: UNREALIZED LOSS ON INVESTMENTS. AMOUNT: -5,323.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 5,000. END OF YEAR AMOUNT: 1,000. DESCRIPTION: DUE FROM AFFILIATE. BEG. OF YEAR AMOUNT: 500. END OF YEAR AMOUNT: 5,036. DESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 1,041. END OF YEAR AMOUNT: 1,006.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: DUE TO AFFILIATE. BEG. OF YEAR AMOUNT: 204. END OF YEAR AMOUNT: 2,871. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 750. END OF YEAR AMOUNT: 0. DESCRIPTION: DEFERRED REVENUE. BEG. OF YEAR AMOUNT: 5,000. END OF YEAR AMOUNT: 0.

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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