NORTHERN NEVADA DENTAL HEALTH PROGRAM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTHERN NEVADA DENTAL HEALTH PROGRAM (EIN 88-0411192)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-06-25
IRS object ID
202041779349300339
Schema version
2018v3.1
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)
Return2020-06-25T12:32:54-04:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Connie Christiansen CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12980 Roxbury DrAddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880411192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN NEVADA DENTAL HEALTH PROGRAMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15605 RIGGINS COURTAddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGILBERT A TRUJILLO DDSPersonNm
Person TitleCURRENT PRESIDEPersonTitleTxt
Phone7753370296PhoneNum
Signature2020-06-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnie ChristiansenPreparerPersonNm
PTINP00398106PTIN
Phone7754134084PhoneNum
Preparation2020-06-25PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.206.114.151IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-25IPDt
IP Tm12:45:06IPTm
Federal Original Submission Id88635320201774mef2mxFederalOriginalSubmissionId
Federal Original Submission Id2020-06-25FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE7C9385A3E8743972FF87FD0C7049EFF98CA4D76AtSubmissionCreationDeviceId
At Submission Filing Device IdE7C9385A3E8743972FF87FD0C7049EFF98CA4D76AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGREGORY J PISANI DDSPrincipalOfficerNm
Gross Receipts$696,694GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nndhp.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionTO PROVIDE NO-COST TO LOW-COST DENTAL CARE TO THE UNDERSERVED IN NORTHERN NEVADAActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$524,597PYContributionsGrantsAmt
CY Contributions Grants$668,070CYContributionsGrantsAmt
PY Program Service Revenue$13,828PYProgramServiceRevenueAmt
CY Program Service Revenue$13,903CYProgramServiceRevenueAmt
PY Investment Income$16PYInvestmentIncomeAmt
CY Investment Income$14CYInvestmentIncomeAmt
PY Other Revenue-$18,923PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$519,518PYTotalRevenueAmt
CY Total Revenue$681,987CYTotalRevenueAmt
CY Grants And Similar Paid$11,218CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$146,144PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$165,504CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,682CYTotalFundraisingExpenseAmt
PY Other Expenses$355,995PYOtherExpensesAmt
CY Other Expenses$250,204CYOtherExpensesAmt
PY Total Expenses$502,139PYTotalExpensesAmt
CY Total Expenses$426,926CYTotalExpensesAmt
PY Revenues Less Expenses$17,379PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$255,061CYRevenuesLessExpensesAmt
Total Assets BOY$156,844TotalAssetsBOYAmt
Total Assets EOY$411,986TotalAssetsEOYAmt
Total Liabilities EOY$81TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$156,844NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$411,905NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE NO-COST TO LOW-COST DENTAL CARE TO THE UNDERSERVED IN NORTHERN NEVADAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$369,869ExpenseAmt
Revenue$13,903RevenueAmt
DescTHE ORGANIZATION CONSISTS OF HUNDREDS OF VOLUNTEERS, INCLUDING DENTISTS, HYGIENISTS, AND ORAL HEALTH SPECIALISTS, WHO GENEROUSLY DONATE THEIR TIME AND SERVICES TO PROVIDE PRO-BONO DENTAL CARE TO CHILDREN AND VETERANS IN NEED. THE ORGANIZATION IDENTIFIES AND ASSESSES EACH CASE, THEN COORDINATES SERVICES WITH ITS TEAM OF VOLUNTEERS. EACH YEAR, THE ORGANIZATION HOLDS A GIVE KIDS A SMILE EVENT THAT PROVIDES FREE EDUCATIONAL, PREVENTATIVE, AND RESTORATIVE SERVICES FOR AT-RISK AND UNDERSERVED CHILDREN. THROUGH HEALTHY SMILE HEALTHY CHILD (HSHC), A PROGRAM OF THE NORTHERN NEVADA DENTAL HEALTH PROGRAMS, TEAMS ALSO VISIT SCHOOLS TO PROVIDE FREE DENTAL SCREENING, FLOURIDE VARNISH APPLICATIONS, ORAL HYGIENE, NUTRITION EDUCATION, AND DENTAL SEALANTS. HSHC ALSO PROVIDES HOSPITAL SCREENINGS AND PROVIDER PLACEMENT INCLUDED IN OUR PARTNERSHIP WITH RENOWN CHILDRENS HOSPITAL AND HOSPITAL SETTING DENTAL CARE FOR THOSE IN EXTREME NEED.Desc
Total Program Service Expenses$369,869TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLORI BENVINPersonNm
Phone7753370296PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15605 RIGGINS CT 101AAddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GREGORY J PISANI DDS
PRESIDENT4.000.00Yes (X)Yes (X)$0$0$0
ROBERT BARONE
TREASURER3.000.00Yes (X)Yes (X)$0$0$0
GILBERT TRUJILLO DDS
SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
JOEL T GLOVER DDS
VICE PRESIDENT3.000.00Yes (X)Yes (X)$0$0$0
DAVID RUSSELL
DIRECTOR2.000.00Yes (X)$0$0$0
ARNIE PITTS DDS
DIRECTOR2.000.00Yes (X)$0$0$0
KATHY PEAK
DIRECTOR2.000.00Yes (X)$0$0$0
THOMAS MYATT DDS
DIRECTOR2.000.00Yes (X)$5,500$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$36,385FundraisingAmt
Government Grants$174,980GovernmentGrantsAmt
All Other Contributions$456,705AllOtherContributionsAmt
Total Contributions$668,070TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM COMMITMENT FEESDesc
Business621300BusinessCd
Total Revenue Column$13,903TotalRevenueColumnAmt
Related Or Exempt Func Income$13,903RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,903TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14TotalRevenueColumnAmt
Exclusion$14ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$14,707FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$36,385ContriRptFundraisingEventAmt
Fundraising Direct Expenses$14,707FundraisingDirectExpensesAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$681,987TotalRevenueColumnAmt
Related Or Exempt Func Income$13,903RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,218TotalAmt
Program Services$11,218ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$149,894TotalAmt
Program Services$149,894ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,610TotalAmt
Program Services$15,610ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,865TotalAmt
Management And General$2,865ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,145TotalAmt
Management And General$4,145ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,462TotalAmt
Program Services$35,462ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,670TotalAmt
Management And General$26,069ManagementAndGeneralAmt
Fundraising$4,601FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,554TotalAmt
Management And General$4,554ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,028TotalAmt
Program Services$23,028ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$807TotalAmt
Program Services$807ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,422TotalAmt
Program Services$2,422ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,774TotalAmt
Program Services$18,774ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CLINIC AND LAB COSTS$89,833$89,833
OUTREACH$22,821$22,821
FUNDRAISING$10,081$10,081
BANK FEES$2,420$2,420

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,322TotalAmt
Management And General$2,322ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$426,926TotalAmt
Program Services$369,869ProgramServicesAmt
Management And General$42,375ManagementAndGeneralAmt
Fundraising$14,682FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$156,844BOYAmt
EOY$383,108EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,300LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,422LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$28,878EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$156,844BOYAmt
EOY$411,986EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$81EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$81EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$156,844BOYAmt
EOY$411,905EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,844BOYAmt
EOY$411,905EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,844BOYAmt
EOY$411,986EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$255,061ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$80,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$210,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,925CurrentTaxYearMinus1YearAmt
Current Tax Year$668,070CurrentTaxYearAmt
Total$1,544,285TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$210,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,925CurrentTaxYearMinus1YearAmt
Current Tax Year$668,070CurrentTaxYearAmt
Total$1,544,285TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$556,520SubstantialContributorsTotAmt
Public Support Total170$987,765PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$50TotalAmt
FieldValueIRS element (for citing)
Total Support$1,544,335TotalSupportAmt
Public Support CY1700.63960PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
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 D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,300OtherCostOrOtherBasisAmt
Depreciation$2,422DepreciationAmt
Book Value$28,878BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,878TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMEvent1Nm
Gross Receipts Event1$51,092GrossReceiptsEvent1Amt
Charitable Contri Event1$36,385CharitableContriEvent1Amt
Gross Revenue Event1$14,707GrossRevenueEvent1Amt
Non Cash Prizes Event1$3,561NonCashPrizesEvent1Amt
Rent Facility Costs Event1$11,146RentFacilityCostsEvent1Amt
Gross Receipts Total$51,092GrossReceiptsTotalAmt
Charitable Contributions Tot$36,385CharitableContributionsTotAmt
Gross Revenue Total Events$14,707GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,561NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$11,146RentFcltyCostsTotalEventsAmt
Direct Expense Summary Events$14,707DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1RENOWN HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 MILL ST O2AddressLine1Txt
CityRenoCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89502ZIPCd
FieldValueIRS element (for citing)
Recipient EIN942972749RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc
Purpose Of GrantHEALTHY SMILE HEALTH CHILD PROGRAM ADMINPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMonitoring procedures (Part I, line 2)FormAndLineReferenceDesc
ExplanationAS PART OURTHE HSHC PROGRAM, THE ORGANIZATION PROVIDES RENOWN MEDICAL CENTER WITH AN AMOUNT TO COVER A PORTION OF ADMINISTRATION AND STAFF COSTS TO CASE MANAGE AT-RISK CHILDREN TO THEIR NEEDED DENTAL CARE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11THE 990 IS PROVIDED TO THE BOARD ANNUALLY FOR REVIEW PRIOR TO SUBMISSION.
Other officer or key employee compensation Part VI line 15bTHE ORGANIZATION DOES NOT HAVE AN EXECUTIVE DIRECTOR OR MANAGEMENT PERSONNEL THAT ARE COMPENSATED BY THE ORGANIZATION.
Governing documents etc available to public Part VI line 19THE FORM 990 IS AVAILABLE UPON REQUEST OR ONLINE AT WWW.GUIDSTAR.ORG

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