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PEDIATRIC DENTAL ASSOCIATION OF THE UNIVERSITY OF SOUTHERN CA: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC DENTAL ASSOCIATION OF THE UNIVERSITY OF SOUTHERN CA (EIN 95-4514285)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-11
IRS object ID
202241319349202134
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)
Return2022-05-11T12:11:35-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN474521427PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEBER CHRISTENSEN & HEINRICHS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1511 E 1ST ST SUITE CAddressLine1Txt
CityTUSTINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92780ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954514285EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC DENTAL ASSOCIATION OF USCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEDIBusinessNameControlTxt
Phone7145444341PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1457 W FOOTHILL BLVDAddressLine1Txt
CityMONROVIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91016ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDDIE SO DDSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7145444341PhoneNum
Signature2022-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEDDIEPersonFirstNm
Person LastSO DDSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBILLY BRENNANPreparerPersonNm
PTINP02422185PTIN
Phone7145444341PhoneNum
Preparation2022-04-27PreparationDt

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 AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$31,713GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Program Service Revenue$5,700ProgramServiceRevenueAmt
Membership Dues$25,950MembershipDuesAmt
Investment Income$63InvestmentIncomeAmt
Total Revenue$31,713TotalRevenueAmt
Other Expenses Total$18,251OtherExpensesTotalAmt
Total Expenses$18,251TotalExpensesAmt
Excess Or Deficit For Year$13,462ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$286,026NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$299,488NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$283,526BOYAmt
EOY$298,061EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$1,427EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$286,026BOYAmt
EOY$299,488EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$286,026BOYAmt
EOY$299,488EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO SUPPORT THE PEDIATRIC DENTAL DEPARTMENT AT U.S.C.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomIMPROVE THE QUALITY OF THE USC DENTAL SCHOOL PEDIATRIC PROGRAMDescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID KANG DDS
PRESIDENT1.00$0$0$0
JOHNATHAN LOW DDS
VICE PRESIDENT1.00$0$0$0
EDDIE SO DDS
TREASURER1.00$0$0$0
DAVID GOOD DDS
SECRETARY1.00$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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDDIE SO DDSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1457 W FOOTHILL BLVDAddressLine1Txt
CityMONROVIACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91016ZIPCd
FieldValueIRS element (for citing)
Phone7145444341PhoneNum
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
Public Support Total509$0PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Private Foundation509Yes (X)PrivateFoundation509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 63.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: FUNDRAISING EVENTS. AMOUNT: 15,404. DESCRIPTION: CONFERENCES & MEETINGS. AMOUNT: 1,071. DESCRIPTION: BANK CHARGES. AMOUNT: 64. DESCRIPTION: GIFTS & AWARDS. AMOUNT: 1,337. DESCRIPTION: TAXES & LICENSES. AMOUNT: 375. TOTAL TO FORM 990-EZ, LINE 16: 18,251.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: MACHINERY & EQUIPMENT. BEG. OF YEAR AMOUNT: 2,500. END OF YEAR AMOUNT: 1,427.

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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