2021-05-14T10:15:14-05:00 2020-06-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2019-07-01 043466040 MDS FOUNDATION INC MDSF 5084809797 TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 KEVIN MONTEIRO CLERK 5084496053 2021-05-13 1 CHARLES J WEBB CPA P01584539 5083669100 2021-05-11 2019 2022-09-23 18:48:47Z KEVIN MONTEIRO TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 3261579 0 X WWW.MASSDENTAL.ORG X 1999 MA THE MDS FOUNDATION IS DEDICATED TO DIRECTING ITS CHARITABLE RESOURCES TO IMPROVE THE ORAL HEALTH OF MASSACHUSETTS RESIDENTS. 15 15 0 0 0 0 73561 3216703 0 0 74058 44876 0 0 147619 3261579 101783 96284 0 0 0 0 0 0 0 8906 528059 110689 624343 36930 2637236 2157157 4800217 1000 4662 2156157 4795555 THE MDS FOUNDATION IS DEDICATED TO DIRECTING ITS CHARITABLE RESOURCES TO IMPROVE THE ORAL HEALTH OF MASSACHUSETTS RESIDENTS. 0 0 615944 96284 INCREASE ACCESS TO ORAL HEALTH CARE. 615944 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 MA X MDS CO KEVIN MONTEIRO 5084809797 TWO WILLOW STREET SUITE 200 SOUTHBOROUGH MA 01745 ROBERT E BOOSE EDD CLERK (UNTIL 3/20) 4.00 35.00 X X 0 356113 104317 CONOR MCNULTY CLERK 4.00 35.00 X X 0 0 0 KATHLEEN M BOYCE CPA CFO/COO 4.00 35.00 X X 0 227504 43933 MARY JANE HANLON DMD MEMBER 4.00 5.00 X 0 0 0 JANIS MORIARTY MEMBER 4.00 5.00 X 0 0 0 MEREDITH BAILEY DMD VICE PRESIDENT 4.00 X X 0 0 0 ROBERT LEWANDO DDS CHAIR 4.00 X X 0 0 0 PHILIP HOWELLS DDS TREASURER 4.00 5.00 X X 0 0 0 KEVIN MONTEIRO CAE ASSISTANT CLERK 4.00 X X 0 0 0 HOWARD ZOLOT DMD IMMEDIATE PAST PRESIDENT 4.00 X 0 0 0 TOFIGH RAAYAI DMD MEMBER 4.00 5.00 X 0 0 0 ABOL MASSIH TEHRANI DMD MEMBER 4.00 X 0 0 0 CHARLES A GAGNE DDS MEMBER 4.00 X 0 0 0 EDWARD SWIDERSKI DDS MEMBER 4.00 X 0 0 0 GERALDINE GARCIA-ROGERS MEMBER 4.00 X 0 0 0 JANICE CHO MEMBER 4.00 X 0 0 0 KATIE-ROSE WAGNER DDS MEMBER 4.00 X 0 0 0 MARTIN WOHL DDS MEMBER 4.00 X 0 0 0 RALPH FUCCILLO MEMBER 4.00 X 0 0 0 RICHARD LOGUERCIO DDS MEMBER 4.00 X 0 0 0 0 583617 148250 0 0 1 0 0 3216703 3216703 44876 44876 3261579 0 0 44876 96284 96284 1000 1000 564 564 3978 3978 46 46 1582 1582 COVID 19 RECOVERY FUND 519660 519660 BANK FEES 1210 1210 MISCELLANEOUS 19 19 624343 615944 8399 0 524614 1356664 14127 2007682 482 482 1617934 1235139 0 200250 2157157 4800217 1000 4662 1000 4662 X 2130872 2255053 25285 2540502 2156157 4795555 2157157 4800217 2637236 2162 0 X X 0 1 X 1 0 X X 1 MASSACHUSETTS DENTAL SOCIETY 041590155 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 X 1 1 PART IV, SECTION E, LINE 2A MASSACHUSETTS DENTAL SOCIETY IS THE NATIONAL FLAGSHIP DENTAL SOCIETY FOR SERVICE INNOVATION AND MEMBER VALUE. THE MISSION OF THE SOCIETY IS TO HELP ALL MEMBERS SUCCEED. THE MDS FOUNDATION IS DEDICATED TO DIRECTING ITS CHARITABLE RESOURCES TO IMPROVE THE ORAL HEALTH OF MASSACHUSETTS RESIDENTS. ITS CURRENT FOCUS IS TO PROVIDE FUNDING TO INCREASE ACCESS TO DENTAL CARE. PART IV, SECTION E, LINE 2B THE MASSACHUSETTS DENTAL SOCIETY WOULD HAVE DIRECTED ITS CHARITABLE RESOURCES TO IMPROVE THE ORAL HEALTH OF MASSACHUSETTS RESIDENTS BUT FOR MDS FOUNDATION'S INVOLVEMENT. PART IV, SECTION D, LINE 3 SOME OF THE FOUNDATION'S BOARD MEMBERS SERVED ON THE BOARD OF THE SUPPORTED ORGANIZATION. THE MANAGEMENT OF THE SUPPORTED ORGANIZATION OVERSEES THE INVESTMENTS OF THE FOUNDATION AND DIRECTS THE INVESTMENT DECISIONS OF THE ENDOWMENT. THESE SHARED BOARD MEMBERS AND MANAGEMENT ALSO ARE PART OF THE DECISION MAKING GROUP THAT DECIDES WHEN AND IF SOME ASSETS OF THE FOUNDATIONS SHOULD BE DIRECTED TO THE SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1363939 40437 210000 1194376 1282260 81679 1363939 1248251 34009 1282260 1159427 88824 1248251 1143796 15631 1159427 1.00000 0 0 0 X PART X, LINE 2: MDSF ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MDSF HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2020. MDSF'S INFORMATION AND TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS. PART V, LINE 4 BOARD DESIGNATED - FUNCTIONING AS ENDOWMENT NET ASSETS REPRESENT FUNDS SET ASIDE BY MDSF'S BOARD OF TRUSTEES IN FURTHERANCE OF SUSTAINABLE PROGRAMS TO IMPROVE ACCESS TO DENTAL CARE FOR NEEDY AND VULNERABLE POPULATIONS IN THE COMMONWEALTH OF MASSACHUSETTS. THESE FUNDS MAY ONLY BE USED IN ACCORDANCE WITH THE DISTRIBUTION POLICY ADOPTED BY MDSF'S BOARD OF TRUSTEES. 1 THE FORSYTH INSTITUTE 245 FIRST STREET CAMBRIDGE MA 02142 042104230 170(B)(1)(A)(V) 15000 TO INCREASE ACCESS TO DENTAL CARE. VIM BERKSHIRES 777 MAIN STREET SUITE 4 GREAT BARRINGTON MA 01230 900140004 501(C)(3) 26513 TO INCREASE ACCESS TO DENTAL CARE. HEALTH CARE OPTIONS 10 EMORY STREET ATTLEBORO MA 02703 222543620 501(C)(3) 15000 TO INCREASE ACCESS TO DENTAL CARE. COMMUNITY HEALTH CENTER OF FRANKLIN 102 MAIN ST GREENFIELD MA 013013275 043312968 501(C)(3) 15000 TO INCREASE ACCESS TO DENTAL CARE. DENTAL LIFELINE NETWORK 1800 15TH ST STE 100 DENVER CO 80202 846129064 12500 TO INCREASE ACCESS TO DENTAL CARE. CAMBRIDGE HEALTH ALLIANCE 1035 CAMBRIDGE STREET SUITE 26 CAMBRIDGE MA 02141 15000 TO INCREASE ACCESS TO DENTAL CARE. 6 SCHEDULE I, PART II: THERE WAS A RETURNED GRANT IN FY2020 FROM A PRIOR YEAR, WHICH IS WHY THE GRANTS LISTED ON SCHEDULE I, PART II ARE HIGHER THAN THE GRANTS LISTED ON FORM 990, PART IX. SCHEDULE I, PART I, LINE 2 THESE GRANTS WERE TO PROVIDE INCREASED ACCESS TO DENTAL CARE. THE ORGANIZATIONS SUBMIT A REPORT BACK TO MASSACHUSETTS DENTAL SOCIETY FOUNDATION ON HOW THE GRANT MONIES WERE SPENT. 0 1 0 0 0 0 0 0 0 ROBERT E BOOSE EDD CLERK (UNTIL 3/20) 0 356113 0 0 0 0 0 102945 0 1372 0 460430 0 0 KATHLEEN M BOYCE CPA CFO/COO 0 227504 0 0 0 0 0 41336 0 2597 0 271437 0 0 PART I, LINE 4B ROBERT BOOSE, EXECUTIVE DIRECTOR OF MDS, $57,820 FROM DEFERRED COMPENSATION PLAN. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE TRUSTEES BEFORE FILING. THE EXECUTIVE DIRECTOR OF A RELATED ENTITY (MASSACHUSETTS DENTAL SOCIETY) REVIEWS THE RETURN PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY AND ANY CONFLICTS OF INTEREST ARE ANNOUNCED AT THE BEGINNING OF EACH MEETING. FORM 990, PART VI, SECTION B, LINE 15 AN EXECUTIVE DIRECTOR IS NOT COMPENSATED BECAUSE OVERSIGHT AND FINANCIAL SUPPORT ARE PROVIDED BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 HARD COPIES AVALIABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. MASSACHUSETTS DENTAL SOCIETY TWO WILLOW STREET SOUTHBOROUGH MA 01745 041590155 PROMOTE & ADVANCE THE ART & SCIENCE OF DENTISTRY & INTEREST OF MEMBER DENTIS MA 501(C)(6) N/A 0 MASSACHUSETTS DENTAL SOCIETY RELIEF FUND TWO WILLOW STREET SOUTHBOROUGH MA 01745 046139122 HELP DENTISTS IN NEED MA 501(C)(3) LINE 11A MASSACHUSETTS DENTAL SOCIETY 0 MDS INSURANCE SERVICES TWO WILLOW STREET SUITE 200 SOUTHBOROUGH MA 01745 043432374 INSURANCE AGENT MA MASSACHUSETTS DENTAL SOCIETY C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0