2022-11-14T13:10:55-06:00 2022-06-30 262350873 CALIBER AUDIT & ATTEST LLP 805 AEROVISTA PLACE SUITE 103 SAN LUIS OBISPO CA 93401 990 2021-07-01 770346861 TOLOSA CHILDREN'S DENTAL CENTER OF SAN LUIS OBISPO COUNTY TOLO 8052385334 717 WALNUT DRIVE PASO ROBLES CA 93446 JON HOLLISTER PRESIDENT 8052385334 2022-11-14 1 JON HOLLISTER 999009999 KIMBERLYN SPILLER CPA P01491937 8058880242 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JON HOLLISTER 717 WALNUT DRIVE PASO ROBLES CA 93446 1706213 0 X TOLOSACHILDRENSDENTAL.ORG X 1993 CA TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY 10 10 21 10 0 0 645347 251626 1094831 1390566 3577 -13013 -14376 -25209 1729379 1603970 0 0 0 0 1033217 1077621 0 0 100215 361166 365096 1394383 1442717 334996 161253 2584715 2725551 91997 71580 2492718 2653971 TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY. 0 0 1184743 1390566 TO PROVIDE DENTAL SERVICES TO UNDERPRIVILEDGED CHILDREN IN SAN LUIS OBISPO COUNTY. PRODUCTION PROGRAM REVENUE IS DERIVED MAINLY FROM DENTI-CAL REIMBURSEMENTS AND IS REPORTED NET OF CLAIMS ADJUSTMENTS. 1184743 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 1 21 1 0 0 0 0 0 1 1 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X SUZANNE RUSSELL 8052382216 717 WALNUT DRIVE PASO ROBLES CA 93446 JON HOLLISTER DDS PRESIDENT 5.00 X X 0 0 0 JAMES TEDFORD MD VICE PRESIDENT 1.00 X X 0 0 0 SCOTT MILSTEAD TREASURER/SECRETARY 1.00 X X 0 0 0 CHUCK BRAUN DIRECTOR 0.50 X 0 0 0 ROBYN FLORES DMD DIRECTOR 0.50 X 0 0 0 LAURIE TORGERSON DIRECTOR 0.50 X 0 0 0 HEIDI WILLIAMS DIRECTOR 0.50 X 0 0 0 KRISTIN KEARNS DIRECTOR 0.50 X 0 0 0 SHAUNA HAYES DMD DIRECTOR 0.50 X 0 0 0 SUZANNE RUSSELL EXECUTIVE DIRECTOR 50.00 X 82108 0 8315 ALEXANDRA CHAMBERLAIN DIRECTOR OF DEVELOPMENT 40.00 X 63359 0 2018 DIEU VO DDS EMPLOYEE-DENTIST 40.00 X 132660 0 5615 THOMAS NAKATSUCHI DDS EMPLOYEE-DENTIST - FORMER 40.00 X 196505 0 12515 RACHEL WILLIAMS EMPLOYEE-DENTIST - FORMER 40.00 X 0 0 0 MARTIN DUNNE DDS EMPLOYEE-DENTIST - FORMER 32.00 X 0 0 0 KIM TRINH EMPLOYEE-DENTIST - FORMER 40.00 X 0 0 0 JU LAWRENCE EMPLOYEE-DENTIST - FORMER 24.00 X 0 0 0 ANDREA N LIVINGOOD DDS EMPLOYEE-DENTIST - FORMER 40.00 X 0 0 0 474632 0 28463 2 1 0 0 0 107167 51226 93233 10600 251626 PRODUCTION PROGRAM REV 621300 1070808 1070808 DTI INCENTIVES 621300 319758 319758 1390566 2498 2498 15511 -15511 -15511 -15511 61523 107167 86732 -25209 -25209 1603970 1390566 0 -38222 168191 99378 68813 775143 775143 14990 13791 1199 51029 45645 5384 68268 58711 5461 4096 16101 313 9357 6431 710 710 12985 12985 4422 4422 5667 5461 118 88 28617 21467 7150 38556 38556 80139 68920 6411 4808 19201 16513 1536 1152 DENTAL SUPPLIES 76142 76142 REPAIRS 15096 15096 OUTSIDE SERVICE 8256 7184 516 556 DUES 5582 5582 53622 36219 7554 9849 1442717 1184743 157759 100215 1845394 1975649 155861 156556 75673 114230 13948 14913 1001358 537155 493839 464203 2584715 2725551 81697 71580 10300 91997 71580 X 2492718 2653971 2492718 2653971 2584715 2725551 161253 0 X 1 X 0 0 0 X 182202 305106 252884 229876 288336 1258404 182202 305106 252884 229876 288336 1258404 1258404 1888 5873 5659 3892 2498 19810 1278214 0.98450 0.98390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 448950 142641 306309 552408 394514 157894 464203 X PART X, LINE 2: THE ORGANIZATION'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA FRANCHISE TAX CODE. SINCE THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION. MANAGEMENT IS NOT AWARE OF ANY TRANSACTIONS THAT WOULD IMPACT THE ORGANIZATION'S TAX-EXEMPT STATUS. FOR THE YEAR ENDED JUNE 30, 2022, MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER THE PRINCIPLES OF THE INCOME TAXES TOPIC OF THE FASB (ASC). THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. ALL TAX EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE AND OTHER APPLICABLE AGENCIES. SUCH AGENCIES MAY REVIEW THE TAXABILITY OF UNRELATED BUSINESS INCOME, OR THE QUALIFICATION OF THE TAX-EXEMPT ENTITY UNDER THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. ANNUAL APPEAL 16425 16425 4879 SUNSET BBQ 141659 80136 61523 36711 4550 1767 3600 21996 1 10606 10606 10600 2629 168690 107167 61523 47311 4550 1767 3600 29504 86732 -25209 0 0 0 0 0 0 0 0 0 THOMAS NAKATSUCHI DDS EMPLOYEE-DENTIST - FORMER 196505 0 0 0 0 0 6900 0 5615 0 209020 0 0 0 DIEU VO DDS EMPLOYEE-DENTIST 132660 0 0 0 0 0 0 0 5615 0 138275 0 0 0 SUZANNE RUSSELL EXECUTIVE DIRECTOR 82108 0 0 0 0 0 2700 0 5615 0 90423 0 0 0 ALEXANDRA CHAMBERLAIN DIRECTOR OF DEVELOPMENT 63359 0 0 0 0 0 0 2018 0 0 63359 2018 0 0 RACHEL WILLIAMS EMPLOYEE-DENTIST - FORMER 0 0 0 0 0 0 0 0 0 0 0 0 MARTIN DUNNE DDS EMPLOYEE-DENTIST - FORMER 0 0 0 0 0 0 0 0 0 0 0 0 KIM TRINH EMPLOYEE-DENTIST - FORMER 0 0 0 0 0 0 0 0 0 0 0 0 JU LAWRENCE EMPLOYEE-DENTIST - FORMER 0 0 0 0 0 0 0 0 0 0 0 0 ANDREA N LIVINGOOD DDS EMPLOYEE-DENTIST - FORMER 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B KEY OFFICERS OF THE ORGANIZATION REVIEW THE TAX RETURN BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY AND INTERESTED PARTIES WOULD REPORT ANY POTENTIAL CONFLICTS AS THEY SHOULD ARISE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW AND SALARY REVIEW FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION VIA MONTHLY PUBLIC BOARD MEETINGS AND UPON REQUEST.