HENRY SCHEIN CARES FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HENRY SCHEIN CARES FOUNDATION INC (EIN 26-4137268)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-13
- IRS object ID
- 202231339349104288
- 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
- Form 990-PF
- Schedule B
- Depreciation Schedule
- Expenditure Responsibility Stmt
- General Explanation Attachment
- Other Assets Schedule
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T15:58:30-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 PARK AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100175001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264137268 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY SCHEIN CARES FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JENNIFER KIM FIELD | InCareOfNm |
| Business Name Control | HENR | BusinessNameControlTxt |
| Phone | 6318435500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 DURYEA ROAD | AddressLine1Txt |
| City | MELVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11747 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER KIM FIELD | PersonNm |
| Person Title | VP, EXEC. DIR. | PersonTitleTxt |
| Phone | 6318435500 | PhoneNum |
| Signature | 2022-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | KIM FIELD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Paul Hammerschmidt | PreparerPersonNm |
| PTIN | P01384178 | PTIN |
| Phone | 2128858000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,158,265 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $314,035 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $1,148 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,148 | InterestOnSavNetInvstIncmAmt |
| Total Rev And Expnss | $315,183 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,148 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Taxes Rev And Expnss | $400 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $6,580 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $6,580 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $6,980 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $6,580 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $727,362 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $799,446 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $734,342 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $806,026 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$419,159 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,148 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $1,648,537 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $1,158,167 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $1,158,167 | SavAndTempCashInvstEOYFMVAmt |
| Other Assets BOY | $719 | OtherAssetsBOYAmt |
| Other Assets EOY | $98 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $98 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,649,256 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,158,265 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,158,265 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $252 | AccountsPayableEOYAmt |
| Grants Payable BOY | $350,285 | GrantsPayableBOYAmt |
| Grants Payable EOY | $278,201 | GrantsPayableEOYAmt |
| Total Liabilities BOY | $350,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $278,453 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $1,265,482 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $853,946 | NoDonorRstrNetAssestsEOYAmt |
| Donor Rstr Net Assets BOY | $33,489 | DonorRstrNetAssetsBOYAmt |
| Donor Rstr Net Assets EOY | $25,866 | DonorRstrNetAssetsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,298,971 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $879,812 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,649,256 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,158,265 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,298,971 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$419,159 | ExcessRevenueOverExpensesAmt |
| Subtotal | $879,812 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $879,812 | TotNetAstOrFundBalancesEOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cap Gains Loss Tx Invst Incm Detail | CapGainsLossTxInvstIncmDetail |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $16 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $16 | SubtotalAmt |
| Tax Based On Investment Income | $16 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $129 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Total Payments And Credits | $129 | TotalPaymentsAndCreditsAmt |
| Overpayment | $113 | OverpaymentAmt |
| Applied To ES Tax | $113 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | NY | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.HSCARESFOUNDATION.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIFER KIM FIELD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6318435500 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 135 DURYEA ROAD | AddressLine1Txt |
| City | MELVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | Yes (true) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (true) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JENNIFER KIM FIELD | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | VICE PRESIDENT, EXECUTIVE DIR. | 1.0 | $0 | $0 | $0 |
| STANLEY BERGMAN | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | CO-CHAIRMAN | 1.0 | $0 | $0 | $0 |
| DR LOUIS W SULLIVAN | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | CO-CHAIRMAN | 1.0 | $0 | $0 | $0 |
| STEVEN KESS | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | PRESIDENT | 1.0 | $0 | $0 | $0 |
| HOWARD STAPLER | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | VICE PRESIDENT | 1.0 | $0 | $0 | $0 |
| MICHAEL AMODIO | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | TREASURER | 1.0 | $0 | $0 | $0 |
| MICHAEL ETTINGER | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | SECRETARY | 1.0 | $0 | $0 | $0 |
| GERALD BENJAMIN | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR | 1.0 | $0 | $0 | $0 |
| JAMES BRESLAWSKI | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR | 1.0 | $0 | $0 | $0 |
| GERARD MEUCHNER | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR | 1.0 | $0 | $0 | $0 |
| STEVEN PALADINO | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR | 1.0 | $0 | $0 | $0 |
| ROBERT PONZO | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR | 1.0 | $0 | $0 | $0 |
| Seema Bhansali | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR EFF. 7/2021 | 1.0 | $0 | $0 | $0 |
| Allison Neale | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR EFF. 7/2021 | 1.0 | $0 | $0 | $0 |
| Maureen Knott | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR EFF. 7/2021 | 1.0 | $0 | $0 | $0 |
| Sanchia Patrick | ||||||||
| 135 DURYEA ROAD | MELVILLE | NY | 11747 | DIRECTOR EFF. 7/2021 | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,403,352 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,403,352 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,403,352 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $21,050 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,382,302 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $69,115 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $69,115 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $16 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $16 | TotalTaxAmt |
| Distributable Before Adj | $69,099 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $69,099 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $69,099 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $806,026 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $806,026 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $69,099 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Excess Distribution Cyov Yr1 | $427,000 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $427,000 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $806,026 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Current Year | $69,099 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $736,927 | RemainingDistriFromCorpusAmt |
| Total Corpus | $1,163,927 | TotalCorpusAmt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $1,163,927 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $427,000 | ExcessFromYear1Amt |
| Excess From Current Year | $736,927 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (65 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line1RecipientForeignAddress/AddressLine1Txt | Province Or StateRecipientForeignAddress/ProvinceOrStateNm | CountryRecipientForeignAddress/CountryCd | Foreign PostalRecipientForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Northwell Health Foundation | |||||||||||
| 2000 New Hyde Park | New Hyde Park | NY | 11042 | NONE | PC | PRACTICE PINK | $52,258 | ||||
| National Dental Association | |||||||||||
| 3060 Mitchellville Road | Bowie | MD | 20716 | NONE | PC | GENERAL SUPPORT | $50,000 | ||||
| Harvard School of Dental Medicine | |||||||||||
| Office of Development Alumni Rela | Princeton | NJ | 08542 | NONE | PC | GENERAL SUPPORT | $50,000 | ||||
| International Medical Corps | |||||||||||
| 12400 Wilshire Blvd | Los Angeles | CA | 90025 | NONE | PC | DISASTER RELIEF | $40,540 | ||||
| Alpha Omega International Dental Fraternity | |||||||||||
| 50 West Edmonston Drive | Rockville | MD | 20852 | NONE | PC | Alpha Omega Holocaust Survivors | $36,000 | ||||
| Social Service Volunteers of Nassau Inc | |||||||||||
| 60 Charles Lindbergh Blvd | Uniondale | NY | 11553 | NONE | PC | PROGRAM SUPPORT | $26,600 | ||||
| Family Service League | |||||||||||
| 1444 Fifth Ave | Bay Shore | NY | 11706 | NONE | PC | PROGRAM SUPPORT | $25,600 | ||||
| Santa Fe Group | |||||||||||
| 9 East 80th Street | New York | NY | 10003 | NONE | PC | GENERAL SUPPORT | $25,000 | ||||
| Foundation in Support of the World Health Organiza | |||||||||||
| NONE | PC | GENERAL SUPPORT | $25,000 | Chemin deMines2 1202 | geneva | SZ | |||||
| Children's Health Fund | |||||||||||
| 215 West 25th Street | New York | NY | 10027 | NONE | PC | GENERAL SUPPORT | $25,000 | ||||
| The American Association of Dental Office Managers | |||||||||||
| 125 Half Mile Road | Red Bank | NJ | 07701 | NONE | NC | GENERAL SUPPORT | $24,500 | ||||
| Hispanic Counseling Center | |||||||||||
| 344 Fulton Avenue | Hempstead | NY | 11550 | NONE | PC | PROGRAM SUPPORT | $23,400 | ||||
| Family and Children's Association | |||||||||||
| 31 Main Street | Hempstead | NY | 11550 | NONE | PC | PROGRAM SUPPORT | $22,800 | ||||
| ICD Section USA Foundation | |||||||||||
| 610 Professional Drive | Gaithersburg | MD | 20879 | NONE | PC | GENERAL SUPPORT | $20,000 | ||||
| International Assoc for Dental Research | |||||||||||
| 20001 Blake Street | Denver | CO | 80205 | NONE | PC | Oral Cancer Initiative | $20,000 | ||||
| Arnold P Gold Foundation | |||||||||||
| 619 East Palisade Avenue | Englewood Cliffs | NJ | 07632 | NONE | PC | GENERAL SUPPORT | $20,000 | ||||
| MedShare International | |||||||||||
| 3240 Clifton Springs Road | Decatur | GA | 30034 | NONE | PC | DISASTER RELIEF | $17,500 | ||||
| HIV Dental Alliance | |||||||||||
| 341 Ponce de Leon Avenue | Atlanta | GA | 30308 | NONE | PC | GENERAL SUPPORT | $16,000 | ||||
| Espoir Youth Program | |||||||||||
| 570 Main Street | Westbury | NY | 11590 | NONE | PC | PROGRAM SUPPORT | $15,900 | ||||
| Heart to Heart International | |||||||||||
| PO Box 15566 | Lenexa | KS | 66285 | NONE | PC | Disaster Relief | $15,730 | ||||
| The Viscardi Center | |||||||||||
| 201 IU Willets Road | Albertson | NY | 11507 | NONE | PC | GENERAL SUPPORT | $15,000 | ||||
| 72Point Inc | |||||||||||
| 231 Front Street | Brooklyn | NY | 11201 | NONE | PC | GENERAL SUPPORT | $12,500 | ||||
| The University of British Columbia | |||||||||||
| NONE | PC | General Support | $12,100 | 204 2199 Westbrook Mall | Vancouver | CA | V6T 1Z3 | ||||
| The University of Sydney USA Foundation | |||||||||||
| 15 Roszel Road | Princeton | NJ | 08540 | NONE | PC | General Support | $10,675 | ||||
| St Vincent de Paul Society NSW | |||||||||||
| NONE | PC | Disaster Relief | $10,210 | 2 C West Street | Lewisham, NSW | AS | 2049 | ||||
| Professional Baseball Athletic Trainers Society (P | |||||||||||
| 2001 Blake Street | Denver | CO | 80205 | NONE | NC | Global Community Outreach | $10,000 | ||||
| Feeding America | |||||||||||
| 161 North Clark Street | Chicago | IL | 60601 | NONE | PC | General Support | $10,000 | ||||
| United Way of New York City | |||||||||||
| 205 East 42nd Street | New York | NY | 10017 | NONE | PC | Disaster Relief | $10,000 | ||||
| National Hispanic Health Foundation | |||||||||||
| 920 L Street | Washington | DC | 20036 | NONE | PC | General Support/Disaster Relief | $10,000 | ||||
| World Vision | |||||||||||
| 34834 Weyerhaeuser Way S | Federal Way | WA | 98063 | NONE | PC | Disaster Relief | $10,000 | ||||
| Bethany House | |||||||||||
| 102 Whitehouse Avenue | Roosevelt | NY | 11575 | NONE | PC | PROGRAM SUPPORT | $7,700 | ||||
| IsraAID (US) Global Humanitarian Assistance Inc | |||||||||||
| PO Box 61227 | Palo Alto | CA | 94306 | NONE | PC | Disaster Relief | $7,500 | ||||
| Americares | |||||||||||
| 88 Hamilton Avenue | Stamford | CT | 06902 | NONE | PC | Disaster Relief | $7,500 | ||||
| The HIV League | |||||||||||
| 240 Kent Avenue | Brooklyn | NY | 11249 | NONE | PC | General Support | $7,000 | ||||
| SCO Family of Services | |||||||||||
| 1 Alexander Place | Glen Cove | NY | 11542 | NONE | PC | program support | $6,100 | ||||
| WellLife Network-PSCH Inc | |||||||||||
| 3600 Route 112 | Coram | NY | 11550 | NONE | PC | program support | $5,500 | ||||
| University of Minnesota Foundation | |||||||||||
| 200 Oak Street Southeast Suite 500 | Minneapolis | MN | 55455 | NONE | PC | Disaster Relief | $5,495 | ||||
| Youth Environmental Services Inc (dba YES Commun | |||||||||||
| 75 Grand Avenue | Massapequa | NY | 11758 | NONE | PC | program support | $5,300 | ||||
| The Raymar Children's Fund | |||||||||||
| 523 Christie Street | South Hempstead | NY | 11550 | NONE | PC | program support | $5,100 | ||||
| Governing Council of the University of Toronto | |||||||||||
| NONE | PC | Student Outreach Missions | $5,000 | 215 Huran Street 2nd Floor | toronto | CA | M5S1A2 | ||||
| American Association of Orthodontists | |||||||||||
| 401 North Lindbergh Blvd | St Louis | MI | 63141 | NONE | PC | program support | $5,000 | ||||
| Trustees of the University of Pennsylvania | |||||||||||
| 240 South 40th Street | Philadelphia | PA | 19104 | NONE | PC | General Support | $5,000 | ||||
| MedStar Health | |||||||||||
| 10980 Grantchester Way | Columbia | MD | 21044 | NONE | PC | General Support | $5,000 | ||||
| Center for Medicare Advocacy | |||||||||||
| PO Box 350 | Willimantic | CT | 06226 | NONE | PC | General Support | $5,000 | ||||
| American Heart Association | |||||||||||
| 7272 Greenville Avenue | Dallas | TX | 75231 | NONE | PC | General Support | $5,000 | ||||
| Project HOPE | |||||||||||
| 255 Carter Hall Lane | Millwood | VA | 22646 | NONE | PC | Disaster Relief | $5,000 | ||||
| MAP International | |||||||||||
| 4700 Glynco Parkway | Brunswick | GA | 31525 | NONE | PC | Disaster Relief | $5,000 | ||||
| Society of American Indian Dentists | |||||||||||
| 4350 South Carson Street | Carson City | NV | 89701 | NONE | PC | Disaster Relief | $5,000 | ||||
| Give Hope Inc | |||||||||||
| 15732 Smith Boyd Road | Charlotte | NC | 28273 | NONE | PC | Disaster Relief | $2,680 | ||||
| Kossan Rubber Industries Bhd | |||||||||||
| NONE | PC | General Support | $2,500 | Wisma KOSSAN Lot 782 Jalan Sungai | Selangor Dural Eh | MY | 42100 | ||||
| Dental Mental Network | |||||||||||
| 329 Waterway Drive | Sneads Way | NC | 28460 | NONE | PC | General Support | $2,500 | ||||
| Vellore Christian Medical College Foundation Inc | |||||||||||
| 475 Riverside Drive | New York | NY | 10115 | NONE | PC | Disaster Relief | $2,500 | ||||
| Special Olympics Georgia | |||||||||||
| 6064 Financial Drive | Norcross | GA | 30071 | NONE | PC | Disaster Relief | $2,500 | ||||
| JHPIEGO | |||||||||||
| 1516 Thames Street | Baltimore | MD | 21231 | NONE | PC | Disaster Relief | $2,500 | ||||
| Gabriel Project Mumbai | |||||||||||
| 77 Lee Place | Bergenfield | NJ | 07621 | NONE | PC | Disaster Relief | $2,500 | ||||
| Care 2 Communities | |||||||||||
| 24 School Street | Boston | MA | 02108 | NONE | PC | Disaster Relief | $2,500 | ||||
| Special Olympics Mississippi | |||||||||||
| 2906 North State Street | Jackson | MS | 39216 | NONE | PC | Disaster Relief | $2,500 | ||||
| Special Olympics Louisiana Inc | |||||||||||
| 46 Louis Prima Drive | Covington | LA | 70433 | NONE | PC | Disaster Relief | $2,500 | ||||
| Hispanic Dental Association | |||||||||||
| 2 Talon Court | Sewell | NJ | 08080 | NONE | PC | Disaster Relief | $2,500 | ||||
| Stony Brook Foundation | |||||||||||
| 230 Administration Building | Stony Brook | NY | 11794 | NONE | PC | Practice Pink | $2,258 | ||||
| Breast Cancer Angels | |||||||||||
| 3722 Catalina Street | Los Alamitos | CA | 90720 | NONE | PC | practice pink | $1,000 | ||||
| Pride Live Inc | |||||||||||
| 2-14 50th Avenue | Long Island City | NY | 10001 | NONE | PC | general support | $1,000 | ||||
| National Network for Oral Health Access | |||||||||||
| 181 East 56th Street | Denver | CO | 80216 | NONE | PC | Disaster Relief | $1,000 | ||||
| Marillac Community Health Centers | |||||||||||
| PO Box 4145 | New Orleans | LA | 70178 | NONE | PC | Disaster Relief | $1,000 | ||||
| Crescentcare | |||||||||||
| 1631 Elysian Fields Avenue | New Orleans | LA | 70117 | NONE | PC | Disaster Relief | $1,000 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $799,446 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (19 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line1RecipientForeignAddress/AddressLine1Txt | Province Or StateRecipientForeignAddress/ProvinceOrStateNm | CountryRecipientForeignAddress/CountryCd | Foreign PostalRecipientForeignAddress/ForeignPostalCd | CityRecipientForeignAddress/CityNm |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARNOLD P GOLD FOUNDATION | ||||||||||||
| 619 EAST PALISADE AVENUE | ENGLEWOOD CLIFFS | NJ | 07632 | none | PC | general support | $10,000 | |||||
| BETHANY HOUSE | ||||||||||||
| 102 WHITEHOUSE AVENUE | ROOSEVELT | NY | 11575 | none | PC | general support | $900 | |||||
| Confederated Salish and Kootenai Tribes | ||||||||||||
| po box 278 | pablo | MT | 59855 | none | PC | general support | $2,500 | |||||
| Espoir Youth Program | ||||||||||||
| 570 MAIN STREET | WESTBURY | NY | 11590 | none | PC | general support | $2,500 | |||||
| Family and Children's Association | ||||||||||||
| 31 MAIN STREET | HEMPSTEAD | NY | 11550 | none | PC | general support | $3,500 | |||||
| FAMILY SERVICE LEAGUE | ||||||||||||
| 1444 FIFTH AVE | bay shore | NY | 11706 | none | PC | general support | $3,500 | |||||
| Governing Council of the University of Toronto | ||||||||||||
| none | PC | general support | $15,000 | 215 Huran Street 2nd Floor | Toronto | CA | M5S1A2 | |||||
| Harvard School of Dental Medicine | ||||||||||||
| 188 longwood avenue | boston | MA | 02115 | none | PC | general support | $100,000 | |||||
| Hispanic Counseling Center | ||||||||||||
| 344 FULTON AVENUE | HEMPSTEAD | NY | 11550 | none | PC | general support | $3,500 | |||||
| HIV Dental Alliance | ||||||||||||
| 341 PONCE DE LEON AVENUE | ATLANTA | GA | 30308 | none | PC | general support | $8,000 | |||||
| National Association of Community Health Centers | ||||||||||||
| 7501 Wisconsin Ave Suite 1100W | bethesda | MD | 20814 | none | PC | general support | $60,000 | |||||
| SCO FAMILY OF SERVICES | ||||||||||||
| 1 ALEXANDER PLACE | GLEN COVE | NY | 11542 | none | PC | general support | $900 | |||||
| Social Service Volunteers of Nassau Inc | ||||||||||||
| 60 CHARLES LINDBERGH BLVD | UNIONDALE | NY | 11553 | none | PC | general support | $2,450 | |||||
| The American Association of Dental Office Managers | ||||||||||||
| 125 HALF MILE ROAD | RED BANK | NJ | 07701 | none | NC | general support | $24,500 | |||||
| The Raymar Children's Fund | ||||||||||||
| 523 CHRISTIE STREET | SOUTH HEMPSTEAD | NY | 11550 | none | PC | general support | $900 | |||||
| The University of British Columbia | ||||||||||||
| none | PC | general support | $36,300 | 204 2199 WESTBROOK MALL | vancouver | CA | V6T 1Z3 | |||||
| United Way British Columbia | ||||||||||||
| none | PC | general support | $1,951 | 3304 30 avenue | british columbia | CA | V1T 2C8 | vernon | ||||
| WellLife Network | ||||||||||||
| 3600 ROUTE 112 | CORAM | NY | 11550 | none | PC | general support | $900 | |||||
| Youth Environmental Services Inc | ||||||||||||
| 75 GRAND AVENUE | MASSAPEQUA | NY | 11758 | none | PC | general support | $900 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $278,201 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,148 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Dividends And Interest From Sec Dtl | DividendsAndInterestFromSecDtl | |
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp | |
| Gain Sales Ast Oth Than Invntry | GainSalesAstOthThanInvntryGrp | |
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $1,148 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,148 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (4 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd |
|---|---|---|---|---|---|---|
| Henry Schein Inc | ||||||
| 1 | 135 Duryea Road | melville | NY | 11747 | $215,000 | Yes (X) |
| SCHWAB CHARITABLE FUND | ||||||
| 2 | 211 MAIN STREET | SAN FRANCISCO | CA | 94105 | $20,000 | Yes (X) |
| Jewish Communal Fund | ||||||
| 3 | 575 Madison avenue | new york | NY | 10022 | $5,000 | Yes (X) |
| Claire Friedlander Family Foundatio | ||||||
| 4 | 223 wall street | Huntington | NY | 11743 | $5,000 | Yes (X) |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | GrantGrantDt | GrantGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Expended By GranteeExpendedByGranteeAmt | Any Diversion By GranteeAnyDiversionByGranteeTxt | Dates Of Reports By GranteeDatesOfReportsByGranteeTxt | Results Of VerificationResultsOfVerificationTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Professional Baseball Athletics Training | ||||||||||
| 2001 BLAKE STREET | denver | CO | 80205 | 2021-06-17 | $10,000 | Charitable Donation to support Youth Programs. | $10,000 | NO | 11/15/2022 | Typically grantor requests a report 1-year from issuing the grant, however, due to COVID is allowing for 18 month+ for reports. No independent verification has been made due to timing nor does the grantor envision any issues to arise as these are long-standing partnerships with annual grants towards the same program. |
| The American Assoc of Office Dental Mgrs | ||||||||||
| 125 HALF MILE ROAD SUITE 200 | red bank | NJ | 07701 | 2021-04-19 | $24,500 | Charitable Donation to support programs. | $24,500 | NO | 11/15/2022 | Typically grantor requests a report 1-year from issuing the grant, however, due to COVID is allowing for 18 month+ for reports. No independent verification has been made due to timing nor does the grantor envision any issues to arise as these are long-standing partnerships with annual grants towards the same program. |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990-PF, Part II, Lines 24 and 25: | IdentifierTxt |
| Form And Line Reference | Form 990-PF, Part II, Lines 24 and 25: | FormAndLineReferenceDesc |
| Medium Explanation | The amount of net assets without donor restrictions and net assets with donor restrictions at the beginning of year (i.e., January 1, 2021) as reported on the accompanying 2021 Form 990-PF conform to the audited financial statements that were issued subsequent to the organization filing 2020 Form 990-PF with the Internal Revenue Service. There is no change in total net assets. 2020 Form 990-PF reported the following net assets at end of year (i.e., December 31, 2020): Net assets without donor restrictions.............$1,209,894. Net assets with donor restrictions....................89,078. Total.............................................$1,298,972. | MediumExplanationTxt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST RECEIVABLE | Desc |
| BOY Book Value | $719 | BOYBookValueAmt |
| EOY Book Value | $98 | EOYBookValueAmt |
| EOYFMV | $98 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| BANK AND CREDIT CARD FEES | $5,407 | $0 | $0 | $5,407 |
| MISCELLANEOUS EXPENSES | $1,173 | $0 | $0 | $1,173 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | EXCISE TAX ON NET INVEST. INC. | CategoryTxt |
| Amt | $400 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments