2020-04-14T17:31:05-05:00 2019-06-30 262350873 CALIBER AUDIT & ATTEST LLP 805 AEROVISTA PLACE SUITE 103 SAN LUIS OBISPO CA 93401 990 2018-07-01 770346861 TOLOSA CHILDREN'S DENTAL CENTER TOLO 8052385334 717 WALNUT DRIVE PASO ROBLES CA 93446 JON HOLLISTER PRESIDENT 8052385334 2020-04-14 1 KIMBERLYN SPILLER CPA P01491937 8058880200 104.4.72.121 2020-04-14 09:56:35 PD P ABE6771C9353FD4D15446E93B6E05B7174562F43 ABE6771C9353FD4D15446E93B6E05B7174562F43 2018 2021-01-29 14:40:06Z JON HOLLISTER 717 WALNUT DRIVE PASO ROBLES CA 93446 2529758 0 X TOLOSACHILDRENSDENTAL.ORG X 1993 CA TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY 11 11 33 5 0 0 179747 289381 1981377 2187144 1833 6673 5035 7694 2167992 2490892 0 0 0 0 1427814 1296575 0 0 76832 456950 495867 1884764 1792442 283228 698450 1365508 2056798 78332 75697 1287176 1981101 TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY. 0 0 1545195 2187144 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. 1545195 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 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 20 0 1 33 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X SUZANNE RUSSELL 8052385334 717 WALNUT DRIVE PASO ROBLES CA 93446 JON HOLLISTER DDS PRESIDENT 3.00 X X 0 0 0 JAMES TEDFORD MD VICE PRESIDENT 2.00 X X 0 0 0 SCOTT MILSTEAD TREASURER/SECRETARY 3.00 X X 0 0 0 MARTY CRAVEN MD DDS DIRECTOR 2.00 X 0 0 0 JENNI DUVAL DIRECTOR 2.00 X 0 0 0 DIANELA JOHNSON BSDH RDH DIRECTOR 2.00 X 0 0 0 CHUCK BRAUN DIRECTOR 2.00 X 0 0 0 ROBYN FLORES DMD DIRECTOR 2.00 X 0 0 0 LAURIE TORGERSON DIRECTOR 2.00 X 0 0 0 GARY TANNER DIRECTOR 2.00 X 0 0 0 HEIDI WILLIAMS DIRECTOR 2.00 X 0 0 0 KRISTIN KEARNS DIRECTOR 2.00 X 0 0 0 NICOLE RADAKOVICH DIRECTOR 2.00 X 0 0 0 SUZANNE RUSSELL EXECUTIVE DIRECTOR 50.00 X 86336 0 7835 ALEXANDRA CHAMBERLAIN DIRECTOR OF DEVELOPMENT 40.00 X 51000 0 1575 MARTIN DUNNE DDS EMPLOYEE-DENTIST 32.00 X 142036 0 2017 KIM TRINH EMPLOYEE-DENTIST 40.00 X 184311 0 11438 JU LAWRENCE EMPLOYEE-DENTIST 24.00 X 123252 0 3757 ANDREA N LIVINGOOD DDS EMPLOYEE-DENTIST - FORMER 40.00 X 0 0 0 586935 0 26622 3 1 1 0 0 49505 94000 145876 2318 289381 PRODUCTION PROGRAM REV 621300 1670604 1670604 DTI INCENTIVES 621300 516540 516540 2187144 5873 5873 800 0 800 800 800 46560 49505 38866 7694 7694 2490892 2187144 0 14367 141677 89715 51962 984318 984318 25134 21615 2011 1508 61274 56047 5227 84172 72388 6734 5050 8566 2341 5844 381 2490 2490 22966 22966 94388 94388 4107 4107 13845 8179 5666 32272 16136 16136 24127 24127 41477 35670 3318 2489 23662 20349 1893 1420 DENTAL SUPPLIES 130186 130186 REPAIRS 28425 28425 OUTSIDE SERVICE 14938 14938 DUES 6500 6500 47918 29588 8415 9915 1792442 1545195 170415 76832 79587 87213 888627 882202 17297 49177 120710 492196 4370 15873 917901 387764 254917 530137 1365508 2056798 78332 75697 78332 75697 X 1277176 1951601 10000 0 29500 1287176 1981101 1365508 2056798 698450 -4525 0 X 0 1 X 0 0 X 147042 152122 198208 182202 305106 984680 147042 152122 198208 182202 305106 984680 984680 947 755 1852 1888 5873 11315 995995 0.98860 0.99200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 436723 99592 337131 481178 288172 193006 530137 X 2513803 22911 22911 2490892 0 2490892 1853513 61071 61071 1792442 0 1792442 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, 2019, 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. SUNSET SAFARI BBQ 63338 32938 30400 12488 7360 750 3915 SIP FOR SMILES 25327 16567 8760 3237 2040 4894 2 7400 7400 4182 96065 49505 46560 15725 9400 750 12991 38866 7694 0 0 0 0 0 0 0 0 0 SUZANNE RUSSELL EXECUTIVE DIRECTOR 86336 0 0 0 0 0 2187 0 5648 0 94171 0 0 0 ALEXANDRA CHAMBERLAIN DIRECTOR OF DEVELOPMENT 51000 0 0 0 0 0 1575 0 0 0 52575 0 0 0 MARTIN DUNNE DDS EMPLOYEE-DENTIST 142036 0 0 0 0 0 1296 0 721 0 144053 0 0 0 KIM TRINH EMPLOYEE-DENTIST 184311 0 0 0 0 0 5550 0 5888 0 195749 0 0 0 JU LAWRENCE EMPLOYEE-DENTIST 123252 0 0 0 0 0 3757 0 0 0 127009 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.