BETA

DENTISTRY FROM THE HEART INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
DENTISTRY FROM THE HEART INC (EIN 20-5178003)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-08
IRS object ID
201823129349301757
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)
Return2018-11-08T11:00:11-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273605969PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113577 FEATHER SOUND DR SUITE 400AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP337625539ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205178003EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENTISTRY FROM THE HEART INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDENTBusinessNameControlTxt
Phone7278492002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE ROADAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVINCENT J MONTICCIOLOPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone7278492002PhoneNum
Signature2018-10-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETTY ISLER CPAPreparerPersonNm
PTINP00541979PTIN
Phone7275721400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.41.95.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-19IPDt
IP Tm09:42:39IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id8795436A6D2F947286B80284B86DAF385C7935EAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerVINCENT J MONTICCIOLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE ROADAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$277,250GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DENTISTRYFROMTHEHEART.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE DENTISTRY TO A GROWING NUMBER OF AMERICANS WITHOUT DENTAL INSURANCEActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers57TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$109,559PYContributionsGrantsAmt
CY Contributions Grants$43,038CYContributionsGrantsAmt
PY Program Service Revenue$208,271PYProgramServiceRevenueAmt
CY Program Service Revenue$234,182CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$30CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$317,830PYTotalRevenueAmt
CY Total Revenue$277,250CYTotalRevenueAmt
PY Grants And Similar Paid$200PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,259CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$71,004PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$80,057CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$211,199PYOtherExpensesAmt
CY Other Expenses$172,270CYOtherExpensesAmt
PY Total Expenses$282,403PYTotalExpensesAmt
CY Total Expenses$294,586CYTotalExpensesAmt
PY Revenues Less Expenses$35,427PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$17,336CYRevenuesLessExpensesAmt
Total Assets BOY$101,728TotalAssetsBOYAmt
Total Assets EOY$84,392TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,728NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,392NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDENTISTRY FROM THE HEART (DFTH) IS A NATIONAL NON-PROFIT ORGANIZATION DEDICATED TO PROVIDING FREE DENTAL CARE TO THOSE IN NEED. INDIVIDUAL DENTISTS AND PRACTICES ACROSS THE COUNTRY DONATE THEIR TIME AND RESOURCES TO HOST THEIR OWN DFTH EVENTS. DFTH SERVES TO RECRUIT, UNIFY, AND PROMOTE THESE EVENTS ON A NATIONAL LEVEL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$251,122ExpenseAmt
Grant$42,259GrantAmt
Revenue$234,182RevenueAmt
DescTHE ORGANIZATION RECRUITS DENTAL PRACTICES ACROSS THE NATION TO HOST CHARITY EVENTS TO PROVIDE FREE DENTISTRY FOR INDIVIDUALS WHO CANNOT AFFORD DENTAL CARE. DENTAL SERVICES OFFERED INCLUDE EXTRACTIONS, FILLINGS, AND CLEANINGS. DURING 2017, THE ORGANIZATION ENLISTED 204 DENTAL PRACTICES TO HOST EVENTS. WITH THEIR HELP, THE ORGANIZATION SERVED OVER 13,700 INDIVIDUALS AND PROVIDED MORE THAN $4,895,000 IN FREE DENTAL CARE.Desc
Total Program Service Expenses$251,122TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHERINE CHUNGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7278492002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE RDAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VINCENT J MONTICCIOLO
PRESIDENT/TREASURER0.5040.00Yes (X)Yes (X)$0$0$0
NATALIE L MONTICCIOLO
SECRETARY0.5040.00Yes (X)$0$0$0
MICHELLE SOTIL 1117-9117
DIRECTOR OF OPERATIONS40.000.00Yes (X)$0$48,984$1,016
JODY HERMANN 9117-101918
DIRECTOR OF OPERATIONS40.000.00Yes (X)$0$23,353$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$72,337TotReportableCompRltdOrgAmt
Total Other Compensation$1,016TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$43,038AllOtherContributionsAmt
Total Contributions$43,038TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDENTAL EVENT FEESDesc
Business561000BusinessCd
Total Revenue Column$234,182TotalRevenueColumnAmt
Related Or Exempt Func Income$234,182RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$234,182TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30TotalRevenueColumnAmt
Exclusion$30ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$277,250TotalRevenueColumnAmt
Related Or Exempt Func Income$234,182RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,259TotalAmt
Program Services$42,259ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$74,369TotalAmt
Program Services$59,495ProgramServicesAmt
Management And General$14,874ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,688TotalAmt
Program Services$4,550ProgramServicesAmt
Management And General$1,138ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$695TotalAmt
Management And General$695ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,470TotalAmt
Management And General$9,470ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$1,000ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,818TotalAmt
Program Services$143,818ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,700TotalAmt
Management And General$3,700ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$628TotalAmt
Management And General$628ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,105TotalAmt
Management And General$11,105ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19TotalAmt
Management And General$19ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,168TotalAmt
Management And General$1,168ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$667TotalAmt
Management And General$667ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$294,586TotalAmt
Program Services$251,122ProgramServicesAmt
Management And General$43,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100,560BOYAmt
EOY$84,392EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,565LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,565LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,168BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$101,728BOYAmt
EOY$84,392EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$101,728BOYAmt
EOY$84,392EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,728BOYAmt
EOY$84,392EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,728BOYAmt
EOY$84,392EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$17,336ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$808,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,559CurrentTaxYearMinus1YearAmt
Current Tax Year$43,038CurrentTaxYearAmt
Total$1,046,960TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$808,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,559CurrentTaxYearMinus1YearAmt
Current Tax Year$43,038CurrentTaxYearAmt
Total$1,046,960TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$131,657SubstantialContributorsTotAmt
Public Support Total170$915,303PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$30CurrentTaxYearAmt
Total$30TotalAmt
FieldValueIRS element (for citing)
Total Support$1,046,990TotalSupportAmt
Gross Receipts Rltd Activities$1,115,307GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87420PublicSupportCY170Pct
Public Support PY1700.95030PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,751OtherCostOrOtherBasisAmt
Depreciation$11,751DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,814OtherCostOrOtherBasisAmt
Depreciation$1,814DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
DR MICHAEL MANSOURI
4720 LOWER ROSWELL RDMARIETTAGA30068262094483$5,301$0N/AN/ASPONSORSHIP OF OFFICE'S FREE DENTAL CARE DAY
CARY FAMILY DENTAL
1149 KILDAIRE FARM RDCARYNC27611200030858$6,126$0N/AN/ASPONSORSHIP OF OFFICE'S FREE DENTAL CARE DAY.
DR GRANT RINGLER
3008 GARDEN GROVE PKWYHUTCHINSONKS67502481127636$7,625$0N/AN/ASPONSORSHIP OF OFFICE'S FREE DENTAL CARE DAY
PREMIER DENTAL
17110 LAKESIDE HILLS PLAZAOMAHANE68130900545736$8,700$0N/AN/ASPONSORSHIP OF OFFICE'S FREE DENTAL CARE DAY
FieldValueIRS element (for citing)
Total Other Org4TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationANY DENTAL PRACTICES WANTING TO HOLD A DENTISTRY FROM THE HEART EVENT MUST FILL OUT PAPERWORK TO DETERMINE ELIGIBILITY. THE PARTICIPATING PRACTICES ARE REQUIRED TO REPORT THEIR RESULTS BACK TO DENTISTRY FROM THE HEART.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2VINCENT MONTICCIOLO, PRESIDENT/TREASURER, AND NATALIE MONTICCIOLO, SECRETARY, ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION IS RUN BY THE BOARD OF DIRECTORS AND DOES NOT HAVE SEPARATE COMMITTEES AUTHORIZED TO ACT ON THEIR BEHALF.
FORM 990, PART VI, SECTION B, LINE 11BFROM 990, AS ULTIMATELY FILED WITH THE IRS, IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ANY ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED UPON DISCOVERY. POTENTIAL CONFLICTS ARE MONITORED AND EVALUATED ON AN ONGOING BASIS.
FORM 990, PART VI, SECTION B, LINE 15BTHE ORGANIZATION IS MANAGED BY A BOARD OF DIRECTORS COMPRISED OF VOLUNTEERS. AS SUCH, THE COMPENSATION PROCEDURES DESCRIBED IN QUESTION 15A DO NOT APPLY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND OTHER EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PRESTIGE DERMATOLOGY INC
4546 GRAND BLVDNEW PORT RICHEYFL34652593758247DERMATOLOGYFLN/AS0
DENTAL CARE DELIVERED PA
1214 PLAYMOOR DRPALM HARBORFL34683455235928DENTISTRYFLN/AS0
MONTICCIOLO FAMILY AND SEDATION DENTISTRY PA
1214 PLAYMOOR DRPALM HARBORFL34683364715980DENTISTRYFLN/AS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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