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GEORGIA DENTAL ASSOCIATION FOUNDATION FOR ORAL HEALTH INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GEORGIA DENTAL ASSOCIATION FOUNDATION FOR ORAL HEALTH INC (EIN 27-3194544)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202003219349203055
Schema version
2019v5.1
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)
Return2020-11-16T10:22:55-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN581763570PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JONES AND KOLBBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13475 PIEDMONT ROAD NE SUITE 1500AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30305ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273194544EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGIA DENTAL ASSOCIATION FOUNDATIONBusinessNameLine1Txt
Business Name Line2FOR ORAL HEALTH INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone4046367553PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 PEACHTREE DUNWOODY BDG 17 200AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30328ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANK J CAPALDOPersonNm
Person TitleCEOPersonTitleTxt
Phone4046367553PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN T MUIAPreparerPersonNm
PTINP01222323PTIN
Phone4042627920PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.140.48.178IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm10:51:16IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id11ED3D440668D475CE125EBFF366A09977164370AtSubmissionCreationDeviceId
At Submission Filing Device Id073402BDE42CC79BB40E026963F89028712DB2C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressWWW.GADENTAL.ORG/PUBLIC-RESOURCES/GDA-FOUNDATIONWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$48,888GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$48,888ContributionsGiftsGrantsEtcAmt
Total Revenue$48,888TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$5,149FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$195OccupancyRentUtltsAndMaintAmt
Other Expenses Total$22,673OtherExpensesTotalAmt
Total Expenses$28,017TotalExpensesAmt
Excess Or Deficit For Year$20,871ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$89,605NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$110,476NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$56,608BOYAmt
EOY$103,716EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$38,767BOYAmt
EOY$7,953EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$95,375BOYAmt
EOY$111,669EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,770BOYAmt
EOY$1,193EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$89,605BOYAmt
EOY$110,476EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO IMPROVE ORAL HEALTH OF GEORGIANS THROUGH OUTREACH PROGRAMS THAT PROVIDE COMPREHENSIVE ORAL HEALTH EDUCATION AND DENTAL CARE TO GEORGIANS IN NEED.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO IMPROVE ORAL HEALTH OF GEORGIANS THROUGH OUTREACH PROGRAMS THAT PROVIDE COMPREHENSIVE ORAL HEALTH EDUCATION AND DENTAL CARE TO GEORGIANS IN NEED.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$16,396ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$16,396TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BEN JERNIGAN
CHAIRMAN2.00$0$0$0
JAY PHILLIPS
TREASURER2.00$0$0$0
TOM BRODERICK
SECRETARY2.00$0$0$0
BILL BACHAND
DIRECTOR1.00$0$0$0
DAVID BRADBERRY
DIRECTOR1.00$0$0$0
BRENDA FRITZ
DIRECTOR1.00$0$0$0
NANCY GALLAGHER
DIRECTOR1.00$0$0$0
ELIZABETH LEWIS
DIRECTOR1.00$0$0$0
ROBIN REICH
DIRECTOR1.00$0$0$0
SIDNEY TOURIAL
DIRECTOR1.00$0$0$0
RYAN VAUGHN
DIRECTOR1.00$0$0$0
CAROL WOLFF
DIRECTOR1.00$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 FldGAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA VANZANDTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 PEACHTREE DUNWOODY BDG 17 200AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30328ZIPCd
FieldValueIRS element (for citing)
Phone4046367553PhoneNum
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$417,442CurrentTaxYearMinus1YearAmt
Current Tax Year$48,888CurrentTaxYearAmt
Total$556,575TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,224CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$417,442CurrentTaxYearMinus1YearAmt
Current Tax Year$48,888CurrentTaxYearAmt
Total$556,575TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$26,604SubstantialContributorsTotAmt
Public Support Total170$529,971PublicSupportTotal170Amt
Total Support$556,575TotalSupportAmt
Public Support CY1700.95220PublicSupportCY170Pct
Public Support PY1700.98490PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: FUNDRAISING. AMOUNT: 4,325. DESCRIPTION: BUSINESS INSURANCE. AMOUNT: 1,041. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 4,211. DESCRIPTION: MISCELLANEOUS. AMOUNT: 367. DESCRIPTION: STAFF SUPPORT. AMOUNT: 10,000. DESCRIPTION: INFORMATION TECHNOLOGY. AMOUNT: 2,729. TOTAL TO FORM 990-EZ, LINE 16: 22,673.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: PREPAID EXPENSES. BEG. OF YEAR AMOUNT: 701. END OF YEAR AMOUNT: 953. DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 38,066. END OF YEAR AMOUNT: 7,000.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: DUE TO AFFILIATE. BEG. OF YEAR AMOUNT: 4,880. END OF YEAR AMOUNT: 921. DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 890. END OF YEAR AMOUNT: 272.

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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