2019-10-22T12:00:28-05:00 2019-06-30 541681507 Sells Hogg & Associates CPAs PC 1079 Spruce Street Suite B Martinsville VA 24112 990 2018-07-01 201468244 Piedmont Virginia Dental Health Foundation PIED 2766329266 407 Starling Avenue Martinsville VA 241123731 Mark A Crabtree DDS President 2766329266 2019-10-14 1 Robert W Hogg CPA P00006336 2766383904 70.33.142.107 2019-10-14 16:16:06 ED P A2A04CEC546216B9979316FB3E422678F3EF790A A2A04CEC546216B9979316FB3E422678F3EF790A 2018 2019-02-21 02:37:17Z Mark A Crabtree DDS 407 Starling Ave Martinsville VA 24112 507865 0 X www.piedmontdental.org X Foundation 2004 VA To operate a dental clinic to provide free and reduced-fee dental services to unemployed and uninsured adults, needy children and Medicaid patients who have been unable to acquire such services 7 7 0 0 14 0 295904 315931 202667 191920 26 14 0 0 498597 507865 0 0 0 0 311509 305085 0 0 0 195777 171806 507286 476891 -8689 30974 173970 210212 -99 5149 174069 205063 X The Foundation's mission is to operate a dental clinic to improve the oral health of the community's disadvantaged citizens through oral health education and dental and dental hygiene services. The clinic's patient care goal is to provide the maximum amount of access to dental care for our uninsured, unemployed and low-income population. Its externship goal is to provide VCU dental students (externs) with a real-life, general dentistry, private practice experience in a state of the art dental facility. 0 0 476877 191920 The Foundation operates a dental clinic staffed by a dentist and students from the Virginia Commonwealth University School of Dentistry. The dental students are supervised by the dentist and volunteer local area practicing dentists. Free or reduced-fee dental services were provided to needy individuals. 476877 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X Mark A Crabtree DDS 2766329266 407 Starling Avenue Martinsville VA 24112 X Mark A Crabtree DDS President/Director 7.00 X X 0 0 0 Edward P Snyder DDS Vice-Pres/Director 1.00 X X 0 0 0 Ann C Huffman Sec/Treas/Director 10.00 X X 0 0 0 M Gene Teague Director 1.00 X 0 0 0 Paul R Eason MD Director 1.00 X 0 0 0 Rev Ron Mateer Director 1.00 X 0 0 0 Lisa Fultz Director 1.00 X 0 0 0 0 0 0 0 0 0 0 0 315931 315931 Prog.serv.revenue-Rela 621300 191920 191920 191920 14 14 507865 191920 14 0 246127 246127 4571 4571 35277 35277 19110 19110 960 960 7253 7253 22330 22330 30339 30325 14 75 75 15178 15178 3526 3526 Dental supplies 59766 59766 Development expenses 14813 14813 Repairs & maintenance 5680 5680 Miscellaneous expenses 3897 3897 7989 7989 476891 476877 14 0 52712 96620 50496 50626 15505 22887 233880 193801 55257 40079 173970 210212 -99 5149 -99 5149 X 174069 205063 174069 205063 173970 210212 30974 20 0 X 0 0 0 X 294255 291176 380183 295904 315931 1577449 169294 186096 197870 202667 191920 947847 463549 477272 578053 498571 507851 2525296 185175 221330 193810 183426 201066 984807 0 185175 221330 193810 183426 201066 984807 1540489 122 46 21 26 15 230 122 46 21 26 15 230 463671 477318 578074 498597 507866 2525526 0.61000 0.61100 0.00010 0.00010 X 131355 108626 22729 102525 85175 17350 40079 Form 990, Part VI, Section A, line 2 Ann C. Huffman is Mark A. Crabtree's sister. Ann C. Huffman is also an employee of Martinsville Smiles, PLLC, where Mark A. Crabtree is a shareholder. Form 990, Part VI, Section B, line 11b The Foundation provides a copy of return for review at board of directors meeting before filing. Form 990, Part VI, Section C, line 19 The Foundation makes its governing documents, conflict of interest policy, and financial statments available to the public upon request, either for viewing in the Foundation's office or providing copies to the requester.