KIDS IN NEED OF DENTISTRY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KIDS IN NEED OF DENTISTRY (EIN 84-6038681)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-26
IRS object ID
201842079349300544
Schema version
2017v2.3
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)
Return2018-07-26T12:14:52-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TAYLOR ROTH AND COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 GRANT ST STE 205AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP802032944ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN846038681EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIDS IN NEED OF DENTISTRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKIDSBusinessNameControlTxt
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING ST STE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELLIE BURBEEPersonNm
Person TitleEXEC DIR START NOV.PersonTitleTxt
Phone3037333710PhoneNum
Signature2018-07-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEN ROTHPreparerPersonNm
PTINP01389203PTIN
Phone3038308109PhoneNum
Preparation2018-07-26PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELLIE BURBEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNINGAddressLine1Txt
Address Line2SUITE 210AddressLine2Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,170,175GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KINDSMILES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Volunteers76TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$363,998PYContributionsGrantsAmt
CY Contributions Grants$333,666CYContributionsGrantsAmt
PY Program Service Revenue$602,829PYProgramServiceRevenueAmt
CY Program Service Revenue$666,954CYProgramServiceRevenueAmt
PY Investment Income$2,790PYInvestmentIncomeAmt
CY Investment Income$2,742CYInvestmentIncomeAmt
PY Other Revenue$51,209PYOtherRevenueAmt
CY Other Revenue$97,121CYOtherRevenueAmt
PY Total Revenue$1,020,826PYTotalRevenueAmt
CY Total Revenue$1,100,483CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$748,937PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$827,979CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$58,033CYTotalFundraisingExpenseAmt
PY Other Expenses$350,172PYOtherExpensesAmt
CY Other Expenses$266,885CYOtherExpensesAmt
PY Total Expenses$1,099,109PYTotalExpensesAmt
CY Total Expenses$1,094,864CYTotalExpensesAmt
PY Revenues Less Expenses-$78,283PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,619CYRevenuesLessExpensesAmt
Total Assets BOY$637,213TotalAssetsBOYAmt
Total Assets EOY$652,421TotalAssetsEOYAmt
Total Liabilities BOY$45,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,413TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$591,389NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$597,008NetAssetsOrFundBalancesEOYAmt
MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$789,255ExpenseAmt
Revenue$666,954RevenueAmt
DescKIND PROVIDES PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES. DONATED DENTAL SERVICES, SUPPLIES AND FACILITIES USED IN THE PROGRAM IN 2017 TOTALED 195,931.Desc
Total Program Service Expenses$789,255TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 OrganizationsfalseGrantsToOrganizationsInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee32EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELLIE BURBEEPersonNm
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING STREET SUITE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KERRIE BUNCE
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARK COLLIER
VICE PRESIDE2.00Yes (X)Yes (X)$0$0$0
JOSH AUSTIN
TREASURER2.00Yes (X)Yes (X)$0$0$0
PAUL JEREZ
SECRETARY2.00Yes (X)Yes (X)$0$0$0
MARY ANN WAUGH
MEMBER1.00Yes (X)$0$0$0
DR JIM BIENEMAN
MEMBER1.00Yes (X)$0$0$0
DR ELIZABETH CRESPI
MEMBER1.00Yes (X)$0$0$0
DR SONIA GALLEGO-CUBILLOS
MEMBER1.00Yes (X)$0$0$0
DR JENNIFER THOMPSON
MEMBER1.00Yes (X)$0$0$0
ELLIE BURBEE
CO VICE PRES1.00Yes (X)Yes (X)$0$0$0
PAUL LUCHAU
MEMBER1.00Yes (X)$0$0$0
GREG SHERWOOD
MEMBER1.00Yes (X)$0$0$0
STEPHEN STRECKER
MEMBER1.00Yes (X)$0$0$0
JULIE COLLETT
EXECUTIVE DI40.00Yes (X)$144,047$0$5,819
ELLIE BURBEE
EXEC DIR STA40.00Yes (X)$8,446$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$152,493TotalReportableCompFromOrgAmt
Total Other Compensation$5,819TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$434FederatedCampaignsAmt
Government Grants$26,980GovernmentGrantsAmt
All Other Contributions$306,252AllOtherContributionsAmt
Noncash Contributions$32,506NoncashContributionsAmt
Total Contributions$333,666TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business621300BusinessCd
Total Revenue Column$666,954TotalRevenueColumnAmt
Related Or Exempt Func Income$666,954RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$666,954TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,742TotalRevenueColumnAmt
Exclusion$2,742ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$122,887FundraisingGrossIncomeAmt
Fundraising Direct Expenses$69,692FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,195TotalRevenueColumnAmt
Exclusion$53,195ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE PROCEEDS900099$34,375$34,375
MISCELLANEOUS INCOME900099$9,551$9,551
FieldValueIRS element (for citing)
Other Revenue Total$43,926OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,100,483TotalRevenueColumnAmt
Related Or Exempt Func Income$710,880RelatedOrExemptFuncIncomeAmt
Exclusion$55,937ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$152,493TotalAmt
Program Services$113,150ProgramServicesAmt
Management And General$32,024ManagementAndGeneralAmt
Fundraising$7,319FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$579,446TotalAmt
Program Services$430,667ProgramServicesAmt
Management And General$120,955ManagementAndGeneralAmt
Fundraising$27,824FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$42,959TotalAmt
Program Services$24,267ProgramServicesAmt
Management And General$16,438ManagementAndGeneralAmt
Fundraising$2,254FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$53,081TotalAmt
Program Services$40,623ProgramServicesAmt
Management And General$9,692ManagementAndGeneralAmt
Fundraising$2,766FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,431TotalAmt
Management And General$12,431ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,835TotalAmt
Management And General$7,835ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,221TotalAmt
Program Services$21,633ProgramServicesAmt
Management And General$7,215ManagementAndGeneralAmt
Fundraising$15,373FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$182TotalAmt
Program Services$182ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,587TotalAmt
Program Services$1,456ProgramServicesAmt
Management And General$1,117ManagementAndGeneralAmt
Fundraising$14FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,571TotalAmt
Program Services$7,357ProgramServicesAmt
Management And General$9,214ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$56,802TotalAmt
Program Services$52,598ProgramServicesAmt
Management And General$4,204ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,721TotalAmt
Program Services$7,039ProgramServicesAmt
Management And General$2,642ManagementAndGeneralAmt
Fundraising$40FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,403TotalAmt
Program Services$490ProgramServicesAmt
Management And General$3,913ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$490TotalAmt
Management And General$490ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,494TotalAmt
Program Services$9,415ProgramServicesAmt
Management And General$3,079ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,579TotalAmt
Program Services$8,858ProgramServicesAmt
Management And General$4,543ManagementAndGeneralAmt
Fundraising$178FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM & OFFICE SUPPLIES$57,788$55,253$2,535
EQUIPMENT$9,218$5,950$2,319$949
STAFF DEVELOPMENT$6,285$2,852$2,905$528
OTHER EXPENSES$3,660$1,328$2,332

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,618TotalAmt
Program Services$6,137ProgramServicesAmt
Management And General$1,693ManagementAndGeneralAmt
Fundraising$788FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,094,864TotalAmt
Program Services$789,255ProgramServicesAmt
Management And General$247,576ManagementAndGeneralAmt
Fundraising$58,033FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$105,874BOYAmt
EOY$92,104EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$398,118BOYAmt
EOY$365,906EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,155BOYAmt
EOY$25,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$81,978BOYAmt
EOY$99,833EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,744BOYAmt
EOY$21,973EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,582LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,977LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,344BOYAmt
EOY$47,605EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$637,213BOYAmt
EOY$652,421EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,638BOYAmt
EOY$41,106EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,186BOYAmt
EOY$13,307EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,824BOYAmt
EOY$55,413EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$591,389BOYAmt
EOY$577,008EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$591,389BOYAmt
EOY$597,008EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$637,213BOYAmt
EOY$652,421EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,619ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$506,431CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$490,685CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$454,797CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$363,998CurrentTaxYearMinus1YearAmt
Current Tax Year$335,974CurrentTaxYearAmt
Total$2,151,885TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$506,431CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$490,685CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$454,797CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$363,998CurrentTaxYearMinus1YearAmt
Current Tax Year$335,974CurrentTaxYearAmt
Total$2,151,885TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$282,983SubstantialContributorsTotAmt
Public Support Total170$1,868,902PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$833CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,790CurrentTaxYearMinus1YearAmt
Current Tax Year$2,742CurrentTaxYearAmt
Total$7,506TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,825CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,507CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,090CurrentTaxYearMinus1YearAmt
Current Tax Year$53,195CurrentTaxYearAmt
Total$296,255TotalAmt
FieldValueIRS element (for citing)
Total Support$2,455,646TotalSupportAmt
Gross Receipts Rltd Activities$2,739,804GrossReceiptsRltdActivitiesAmt
Public Support CY1700.76110PublicSupportCY170Pct
Public Support PY1700.74930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationSPECIAL EVENTS 296,255ExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,586OtherCostOrOtherBasisAmt
Depreciation$37,311DepreciationAmt
Book Value$29,275BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,682OtherCostOrOtherBasisAmt
Depreciation$14,659DepreciationAmt
Book Value$6,023BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,314OtherCostOrOtherBasisAmt
Depreciation$20,007DepreciationAmt
Book Value$12,307BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$47,605TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONDesc
Amt$13,307Amt
FieldValueIRS element (for citing)
Total Liability$13,307TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,263,908TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$163,425DonatedServicesAndUseFcltsAmt
Revenue Not Reported$163,425RevenueNotReportedAmt
Revenue Subtotal$1,100,483RevenueSubtotalAmt
Total Revenue Per Form990$1,100,483TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,258,289TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$163,425DonatedServicesUseFcltsAmt
Expenses Not Reported$163,425ExpensesNotReportedAmt
Expenses Subtotal$1,094,864ExpensesSubtotalAmt
Total Expenses Per Form990$1,094,864TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1EXPRESSIONS KINEvent1Nm
Gross Receipts Event1$63,110GrossReceiptsEvent1Amt
Gross Revenue Event1$63,110GrossRevenueEvent1Amt
Other Direct Expenses Event1$39,393OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$51,652GrossReceiptsEvent2Amt
Gross Revenue Event2$51,652GrossRevenueEvent2Amt
Other Direct Expenses Event2$25,243OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$6,520GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$6,520GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$5,027OthDirectExpnssOtherEventsAmt
Gross Receipts Total$121,282GrossReceiptsTotalAmt
Gross Revenue Total Events$121,282GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$69,663OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$69,663DirectExpenseSummaryEventsAmt
Net Income Summary$51,619NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)DENTAL SUPPLIES1$20,006
Yes (X)DENTAL CHAIR1$12,500
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 12CDIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY, AND ARE ASKED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15AEXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.

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