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HINCHE HAITI DENTAL OUTREACH INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HINCHE HAITI DENTAL OUTREACH INC (EIN 83-2277410)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-12
IRS object ID
202201329349203405
Schema version
2021v4.2
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)
Return2022-05-12T13:22:56-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391829828PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ENDRIES OTTO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11080 CAMERON WAY P O BOX 2106AddressLine1Txt
CityNEENAHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549572106ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN832277410EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HINCHE HAITI DENTAL OUTREACH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHINCBusinessNameControlTxt
Phone9207250400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1996 S GREEN BAY RDAddressLine1Txt
CityNEENAHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54956ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR TIMOTHY J BROWNPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9207250400PhoneNum
Signature2022-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastTIMOTHY J BROWNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00005520PTIN
Phone9207256075PhoneNum
Preparation2022-05-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressWWW.BROWNFAMILYDENTISTRY.COM/HAITIWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$20,404GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$20,400ContributionsGiftsGrantsEtcAmt
Investment Income$4InvestmentIncomeAmt
Total Revenue$20,404TotalRevenueAmt
Grants And Similar Amounts Paid$12,321GrantsAndSimilarAmountsPaidAmt
Printing Publications Postage$765PrintingPublicationsPostageAmt
Other Expenses Total$6,704OtherExpensesTotalAmt
Total Expenses$19,790TotalExpensesAmt
Excess Or Deficit For Year$614ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$41,214NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$41,828NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$41,214BOYAmt
EOY$41,828EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$41,214BOYAmt
EOY$41,828EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$41,214BOYAmt
EOY$41,828EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE DENTAL SERVICES AT NO COST TO INDIVIDUALS RESIDING IN AND AROUND HINCHE, HAITI. THE ORGANIZATION ORGANIZES AND FUNDS TRAVEL EXPENSES FOR DENTISTS AND TRAINED DENTAL STAFF WHO VOLUNTEER THEIR TIME TO PROVIDE DENTAL CARE AT NO COST TO INDIVIDUALS WHO LIVE IN THE HINCHE, HAITI AREA. THE DENTAL SERVICES PROVIDED INCLUDE RESTORATIONS, EXTRACTIONS, ROOT CANALS, CLEANINGS, AND FLUORIDE TREATMENTS. THE ORGANIZATION ALSO PROVIDES LEARNING OPPORTUNITIES TO LOCAL HAITIANS THAT ARE INTERESTED IN LEARNING ABOUT DENTAL CARE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
PROVIDED FREE DENTAL SERVICES TO INDIVIDUALS RESIDING IN AND AROUND HINCH, HAITI.$0$7,469
MADE LIFE SUSTAINING DONATIONS TO INDIVIDUALS IN NEED.$12,321$12,321
FieldValueIRS element (for citing)
Total Program Service Expenses$19,790TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DR TIMOTHY J BROWN
PRESIDENT AND DIRECTOR5.00$0$0$0
DR DAWN BROWN
SECRETARY AND DIRECTOR5.00$0$0$0
DR TIPTON BROWN
TREASURER AND DIRECTOR5.00$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 FldWIStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1996 S GREEN BAY RDAddressLine1Txt
CityNEENAHCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54956ZIPCd
FieldValueIRS element (for citing)
Phone9207250400PhoneNum
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$40,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,580CurrentTaxYearMinus1YearAmt
Current Tax Year$20,400CurrentTaxYearAmt
Total$129,659TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$40,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,580CurrentTaxYearMinus1YearAmt
Current Tax Year$20,400CurrentTaxYearAmt
Total$129,659TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$129,659PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10CurrentTaxYearMinus1YearAmt
Current Tax Year$4CurrentTaxYearAmt
Total$18TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10CurrentTaxYearMinus1YearAmt
Current Tax Year$4CurrentTaxYearAmt
Total$18TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$40,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,709CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,590CurrentTaxYearMinus1YearAmt
Current Tax Year$20,404CurrentTaxYearAmt
Total$129,677TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Public Support PY5090.99990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 4.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: SUPPLIES. AMOUNT: 268. DESCRIPTION: DENTAL EQUIPMENT. AMOUNT: 619. DESCRIPTION: HAITIAN DENTISTS FEE. AMOUNT: 300. DESCRIPTION: EDUCATION. AMOUNT: 5,517. TOTAL TO FORM 990-EZ, LINE 16: 6,704.

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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