PATTERSON DENTAL FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PATTERSON DENTAL FOUNDATION (EIN 74-3076772)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201703179349101035
Schema version
2016v3.0
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)
Return2017-11-13T11:22:31-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463220328PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AKINS HENKE AND COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 INWOOD AVENUE NORTH SUITE 160AddressLine1Txt
CityOAKDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55128ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN743076772EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATTERSON FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPATTBusinessNameControlTxt
Phone6516861725PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID MISIAKPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6516861725PhoneNum
Signature2017-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGEORGIA AKINSPreparerPersonNm
PTINP00950359PTIN
Phone6516363806PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.244.196.169IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-07IPDt
IP Tm10:26:36IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE4AF4772C4F133E06E155FB0357E4C69D2F5CDE5AtSubmissionCreationDeviceId
At Submission Filing Device IdE4AF4772C4F133E06E155FB0357E4C69D2F5CDE5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$21,265,726FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$368,972ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$595,088DividendsRevAndExpnssAmt
Dividends Net Invst Incm$595,088DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$652,830NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$15,919,526GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$652,830CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,616,890TotalRevAndExpnssAmt
Total Net Invst Incm$1,247,918TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$15,671AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,485AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$10,186AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$176,447OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$161,727OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$14,720OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$17,034TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$26,135OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$26,135OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$235,287TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$167,212TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$51,041TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,184,798ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,184,798ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,420,085TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$167,212TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,235,839TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$196,805ExcessRevenueOverExpensesAmt
Net Investment Income$1,080,706NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$27,189SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$49,964SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$49,964SavAndTempCashInvstEOYFMVAmt
Pledges Rcvbl$54,856PledgesRcvblAmt
Pledges Rcvbl Allwnc Dbtfl Acct$2,000PledgesRcvblAllwncDbtflAcctAmt
Pledges Rcvbl BOY$9,042PledgesRcvblBOYAmt
Pledges Rcvbl EOY$52,856PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$52,856PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$6,935PrepaidExpensesBOYAmt
Prepaid Expenses EOY$3,503PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$3,503PrepaidExpensesEOYFMVAmt
Other Investments BOY$20,579,172OtherInvestmentsBOYAmt
Other Investments EOY$21,113,288OtherInvestmentsEOYAmt
Other Investments EOYFMV$21,113,288OtherInvestmentsEOYFMVAmt
Other Assets BOY$51,757OtherAssetsBOYAmt
Other Assets EOY$46,115OtherAssetsEOYAmt
Other Assets EOYFMV$46,115OtherAssetsEOYFMVAmt
Total Assets BOY$20,674,095TotalAssetsBOYAmt
Total Assets EOY$21,265,726TotalAssetsEOYAmt
Total Assets EOYFMV$21,265,726TotalAssetsEOYFMVAmt
Accounts Payable BOY$43,333AccountsPayableBOYAmt
Accounts Payable EOY$47,617AccountsPayableEOYAmt
Total Liabilities BOY$43,333TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,617TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$20,630,762UnrestrictedBOYAmt
Unrestricted EOY$21,218,109UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$20,630,762TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$21,218,109TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$20,674,095TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$21,265,726TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$20,630,762TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$196,805ExcessRevenueOverExpensesAmt
Other Increases$390,542OtherIncreasesAmt
Subtotal$21,218,109SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$21,218,109TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyWELLS FARGO INVESTMENTSPropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$15,919,526GrossSalesPriceAmt
Cost Or Other Basis$15,266,696CostOrOtherBasisAmt
Gain Or Loss$652,830GainOrLossAmt
Gains Minus Excess Or Losses$652,830GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$652,830CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$1,007,199AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$21,019,951NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.047916DistributionYr1Rt
Adjusted Qlfy Distri Yr2$920,374AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$20,474,343NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.044953DistributionYr2Rt
Adjusted Qlfy Distri Yr3$748,138AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$18,520,271NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.040396DistributionYr3Rt
Adjusted Qlfy Distri Yr4$838,692AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$16,660,879NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.050339DistributionYr4Rt
Adjusted Qlfy Distri Yr5$649,065AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$16,088,909NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.040342DistributionYr5Rt
Total Distribution0.223946TotalDistributionRt
Average Distribution0.044789AverageDistributionRt
Net Vl Noncharitable Assets$20,509,316NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$918,592AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$10,807NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$929,399AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,235,839QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$10,807InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$10,807SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$10,807TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$10,725EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$11,000AppliedToEsTaxAmt
Total Payments And Credits$21,725TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$1EsPenaltyAmt
Overpayment$10,917OverpaymentAmt
Applied To ES Tax$10,917AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMNOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.PATTERSONFOUNDATION.NETWebsiteAddressTxt
Individual With BooksR STEPHEN ARMSTRONGIndividualWithBooksNm
Phone6516861600PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
R STEPHEN ARMSTRONG
1031 MENDOTA HEIGHTS ROADST PAULMN55120TREASURER0.40$0$0$0
RONALD E EZERSKI
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
GEORGE L HENRIQUES
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
LESLIE B KORSH
1031 MENDOTA HEIGHTS ROADST PAULMN55120SECRETARY0.40$0$0$0
KELLY A BAKER
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
SCOTT P ANDERSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120VICE PRESIDENT0.40$0$0$0
JAMES W WILTZ
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
TODD W MUELLER
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
GARY D JOHNSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120VICE PRESIDENT0.40$0$0$0
PAMELA A HEMMEN
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
DAVID G MISIAK
1031 MENDOTA HEIGHTS ROADST PAULMN55120PRESIDENT0.40$0$0$0
DALE A SPANN
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.40$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIT INVESTMENTSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 IDS CENTER 80 SOUTH 8TH STREETAddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Service TypeINVESTMENT MANAGEMENTServiceTypeTxt
Compensation$116,064CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$20,636,085AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$83,082AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$102,474FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$20,821,641TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$20,821,641AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$312,325CashDeemedCharitableAmt
Net Vl Noncharitable Assets$20,509,316NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,025,466MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,025,466MinimumInvestmentReturnAmt
Tax Based On Investment Income$10,807TaxBasedOnInvestmentIncomeAmt
Total Tax$10,807TotalTaxAmt
Distributable Before Adj$1,014,659DistributableBeforeAdjAmt
Recoveries Qualfied Distri$5,203RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,019,862DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,019,862DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,235,839ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,235,839QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$10,807PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,225,032AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,019,862DistributableAsAdjustedAmt
Undistributed Income PY$778,156UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$1,235,839QualifyingDistributionsAmt
Applied To Year1$778,156AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$457,683AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$562,179UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMICHELLE MENNICKE FOUNDATION MANAGERecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1Txt
CityST PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55120ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6516861929RecipientPhoneNum
Form And Info And MaterialsAPPLICATIONS SHOULD INCLUDE ALL ITEMS REQUESTED IN THE GRANT APPLICATION. GRANT APPLICATIONS CAN BE OBTAINED BY WRITING, EMAILING (INFORMATION@PATTERSONFOUNDATION.NET) OR CALLING (651) 686-1929. THE GRANT APPLICATION INCLUDES A BRIEF DESCRIPTION OF YOUR PROJECT AND STATEMENT OF NEED, SUMMARY OF THE ORGANIZATION, ITS MISSION AND GOALS, ORGANIZATION BUDGET, AND A PROJECT BUDGET.FormAndInfoAndMaterialsTxt
Submission DeadlinesMOST APPLICATIONS THAT RECEIVE FUNDING REQUIRE 60 TO 140 DAYS FOR CONSIDERATION AND APPROVAL.SubmissionDeadlinesTxt
Restrictions On AwardsTHE FOUNDATION FOCUSES ON PROVIDING GRANTS IN EDUCATION, HEALTH AND HUMAN SERVICES, AND EDUCATIONAL SCHOLARSHIPS. EDUCATION GRANTS ARE SUPPORT FOR EDUCATION IN THE FOUNDATION'S FOCUS AREAS OF ORAL HEALTH, ANIMAL HEALTH, AND OCCUPATIONAL AND PHYSICAL REHABILITATION. HEALTH AND HUMAN SERVICES GRANTS ASSIST PROGRAMS THAT BENEFIT ECONOMICALLY DISADVANTAGED PEOPLE OR YOUTH WITH SPECIAL NEEDS. EDUCATIONAL SCHOLARSHIPS ARE SUPPORT FOR DEPENDENTS OF PATTERSON COMPANIES, INC EMPLOYEES.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (52 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICA'S DENTIST CARE FOUNDATION
9110 E 35TH ST NWICHITAKS67226NONEPUBLIC CHARITYCRITICAL EQUIPMENT SUSTAINABLILTY.$58,000
ALASKA DENTAL SOCIETY CHARITABLE ACTIVITIES FUND INC
9170 JEWEL LAKE ROAD SUITE 100ANCHORAGEAK99502NONEPUBLIC CHARITYANCHORAGE MISSION OF MERCY EVENT.$5,000
AMAUS HEALTH SERVICES AT CATHEDRAL PC
259 EAST ONONDAGA STREETSYRACUSENY13202NONEPUBLIC CHARITYAMAUS DENTAL SERVICES EXPANSION.$25,000
CALIFORNIA DENTAL ASSOCIATION FOUNDATION
1201 K STREET 15TH FLOORSACRAMENTOCA95814NONEPUBLIC CHARITYCDC CARES$15,000
CARE CLINIC
1407 WEST 4TH STREETRED WINGMN55066NONEPUBLIC CHARITYACCESS TO ORAL HEALTH CARE IN GOODHUE COUNTY.$8,000
AMERICAN ACADEMY OF COSMETIC DENTISTRY CHARITABLE FOUNDATION
402 WEST WILSON STREETMADISONWI53703NONEPUBLIC CHARITYGIVE BACK A SMILE.$2,000
COLORADO MISSION OF MERCY
430 COLORADO AVENUEPUEBLOCO81004NONEPUBLIC CHARITY2016 BRUSH COMOM.$5,000
COOK CHILDREN'S HEALTH FOUNDATION
801 SEVENTH AVENUEFORT WORTHTX76104NONEPUBLIC CHARITYSAVE A SMILE TRANSPORTATION ASSISTANCE PROGRAM.$7,500
DENTAL LIFELINE NETWORK
1800 15TH STREET SUITE 100DENVERCO80202NONEPUBLIC CHARITYNATIONAL DONATED DENTAL SERVICES PROGRAM.$60,000
AMERICA'S VET DOGS - THE VETERAN'S K-9 CORPS
371 E JERICHO TURNPIKESMITHTOWNNY11720NONEPUBLIC CHARITYAMERICA'S VETDOGS FACILITY ACCESSIBILITY MODIFICATIONS.$35,000
GENESIS WORLD MISSION
215 W 35TH STREETGARDEN CITYID83714NONEPUBLIC CHARITYINCREASING THE IMPACT OF THE GARDEN CITY COMMUNITY DENTAL CLINIC.$4,664
ARKANSAS MISSION OF MERCY
7480 HIGHWAY 107SHERWOODAR72120NONEPUBLIC CHARITYARKANSAS MISSION OF MERCY EVENT.$5,000
GIGI'S PLAYHOUSE
2350 WEST HIGGINS ROADHOFFMAN ESTATESIL60169NONEPUBLIC CHARITY"BEST OF ALL" VOLUNTEER DELIVERY OF FREE THERAPEUTIC PROGRAMS.$25,000
AUSIN DOG ALLIANCE
1321 W NEW HOPE DRIVECEDAR PARKTX78613NONEPUBLIC CHARITYHOUNDS FOR HEROS - KENNEL AND EDUCATION CENTER.$13,740
COMMUNITY FREE DENTAL CLINIC
2341 WHITESBURG DRIVE SUITE 3HUNTSVILLEAL35801NONEPUBLIC CHARITYUPGRADE AND OPERATE THE COMMUNITY FREE DENTAL CLINIC.$10,000
HOLLAND FREE HEALTH CLINIC
99 W 26TH STREETHOLLANDMI49423NONEPUBLIC CHARITYPROVIDING COMPREHENSIVE DENTAL CARE TO THE LOCAL UNDERSERVED.$5,000
FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC
4701 SOUTHEAST BUSH STREETPORTLANDOR97206NONEPUBLIC CHARITYEXPANDING SCHOOL BASED DENTAL HOME.$5,000
INTERFAITH DENTAL CLINIC
1721 PATTERSON STREETNASHVILLETN37203NONEPUBLIC CHARITYAFFORDABLE DENTISTRY FOR THE WORKING POOR AND ELDERLY.$17,140
IOWA DENTAL FOUNDATION
5530 W PARKWAY STE 100JOHNSTONIA50131NONEPUBLIC CHARITYIOWA MISSION OF MERCY EVENT.$3,750
GOOD SAMARITAN CARE CLINIC
501 W US HWY 60MOUNTAIN VIEWMO65548NONEPUBLIC CHARITYPARTNERSHIP BETWEEN GOOD SAMARITAN CARE CLINIC AND OTC'S DENTAL ASSISTING PROGRAM.$2,179
HEART AND SOUL FREE CLINIC INC
202 PENN STREET PO BOX 478WESTFIELDIN46074NONEPUBLIC CHARITYHEART AND SOUL FREE DENTAL CLINIC.$10,000
LOVE INC OF THE TRI-CITIES
326 N FERRY STREETGRAND HAVENMI49417NONEPUBLIC CHARITYFREE DENTAL CLINIC.$4,000
MERCY HEALTH CENTER
700 OGLETHORPE AVE C7ATHENSGA30606NONEPUBLIC CHARITYSUPPORTING MERCY'S DENTAL CLINIC: PART-TIME DENTAL COORDINATOR AND VOLUNTEER APPRECIATION.$10,000
MINNESOTA DENTAL FOUNDATION
1335 INDUSTRIAL BLVDMINNEAPOLISMN55413NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN MOORHEAD.$5,000
ILLINOIS STATE DENTAL SOCIETY FOUNDATION
PO BOX 217SPRINGFIELDIL62705NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN COLLINSVILLE.$5,000
OPERATION GRACE MN
1769 LEXINGTON AVE N SUITE 204ROSEVILLEMN55113NONEPUBLIC CHARITYFLOSSIE GOES T SCHOOL.$180,000
KIDSMILES PEDIATRIC DENTAL CLINIC
770 BETHEL ROADCOLUMBUSOH43214NONEPUBLIC CHARITYKIDSSMILES PEDIATRIC DENTAL CLINIC.$7,000
LOUSIANA DENTAL ASSOCIATION FOUNDATION
7833 OFFICE PARK BLVDBATON ROUGELA70809NONEPUBLIC CHARITYMISSION OF MERCY EVENT NEW ORLEANS AREA.$5,000
PHYSICIANS CARECONNECTION
1390 DUBLIN ROADCOLUMBUSOH43215NONEPUBLIC CHARITYDENTIST CARECONNECTION.$5,000
MEMPHIS DENTAL SOCIETY CHARITABLE FUND
6250 POPLAR AVENUEMEMPHISTN38119NONEPUBLIC CHARITYMISSION OF MERCY EVENTS IN MEMPHIS AND MID-SOUTH.$12,500
ROUNDUP RIVER RANCH
PO BOX 8589AVONCO81620NONEPUBLIC CHARITYVOLUNTEER RECRUITMENT (SUMMER AND FAMILY CAMPS).$8,400
RUTH'S PLACE CLINIC
1411 CRAWFORD AVENUEGRANBURYTX76048NONEPUBLIC CHARITYPART-TIME DENTAL ASSISTANT.$4,500
SAN ANTONIO CHRISTIAN DENTAL CLINIC
1 HAVEN FOR HOPE WAY BLDG 1 STE 400SAN ANTONIOTX78207NONEPUBLIC CHARITYDENTAL ASSISTANT SALARY SUPPLEMENT AND DENTAL RECRUTIMENT MARKETING.$7,500
SCHOLARSHIP AMERICA
ONE SCHOLARSHIP WAY PO BOX 297ST PETERMN56082NONEEXEMPT ORGANIZATIONSCHOLARSHIPS.$487,750
SEATTLE CENTER FOUNDATION
305 HARRISON STREETSEATTLEWA98109NONEPUBLIC CHARITYSEATTLE/KING COUNTY CLINIC.$5,000
SOUTH BAY CHILDREN'S HEALTH CENTER ASSOCIATION INC
410 CAMINO REALREDONDO BEACHCA90277NONEPUBLIC CHARITYENDODONTICS SPECIALTY CARE THROUGH COLLABORATION FOR UNDERSERVED YOUTH.$5,000
ST VINCENT DE PAUL
3000 GRATIOT AVEDETROITMN48207NONEPUBLIC CHARITYST. VINCENT DE PAUL DENTAL CLINIC.$5,000
MICHIGAN DENTAL ASSOCIATION FOUNDATION
3657 OKEMOS ROAD SUITE 200OKEMOSMI48864NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN MACOMB.$5,000
MSDA C&E FOUNDATION
6410 DOBBIN ROAD SUITE FCOLUMBIAMD21045NONEPUBLIC CHARITYA TRUCK TO TREAT MORE AT THE MISSION OF MERCY EVENT.$8,000
TRINITY FREE CLINIC
1045 WEST 146TH STREET SUITE BCARMELIN46032NONEPUBLIC CHARITYORAL HEALTH FOR THE WORKING POOR OF HAMILTON COUNTY, INDIANA.$6,250
UNION GOSPEL MIISION ASSOCIATION OF ST PAUL
77 9TH ST EST PAULMN55101NONEPUBLIC CHARITYPROVIDING EMERGENCY & RESTORATIVE DENTAL SERVICES WITH THE AID OF VOLUNTEER DENTAL PROFESSIONALS.$10,000
WALTON FOUNDATION FOR INDEPENDENCE
523 13TH STREETAUGUSTAGA30901NONEPUBLIC CHARITYCAMP TO BE INDEPENDENT.$9,075
NEW MEXICO FOUNDATION FOR DENTAL HEALTH
PO BOX 16854ALBUQUERQUENM87191NONEPUBLIC CHARITYSANTA FE MISSION OF MERCY EVENT.$5,000
OASIS FREE CLINICS
66 BARIBEAU DRIVE SUITE 9/10BRUNSWICKME04011NONEPUBLIC CHARITYOASIS DENTAL CLINIC.$5,000
OCONEE MEMORIAL HOSPITAL FOUNDATION
298 MEMORIAL DRIVESENECASC29672NONEPUBLIC CHARITYACCESSHEALTH COMMUNITY DENTAL CLINIC.$9,000
PRINCE OF PEACE LUTHERAN CHURCH
13901 FAIRVIEW DRIVEBURNSVILLEMN55337NONEPUBLIC CHARITYMISSION OUTPOST DENTAL CLINIC.$5,000
SACRAMENTO DISTRICT DENTAL FOUNDATION
2035 HURLEY WAY SUITE 200SACRAMENTOCA95825NONEPUBLIC CHARITYSMILES FOR KIDS 2016.$10,000
SOUTHERN MARYLAND MISSION OF MERCY INC
28095 THREE NOTCH RDMECHANICVILLEMD20659NONEPUBLIC CHARITYSOUTHERN MARYLAND MISSION OF MERCY 2016.$2,500
ST ELIZABETH'S HEALTH CENTER
140 W SPEEDWAY BLVD STE 100TUCSONAZ85705NONEPUBLIC CHARITYOPERATING SUPPORT FOR VOLUNTEER DENTISTS.$5,000
TRI-COUNTY DENTAL
9 TRI-PARK WAYAPPLETONWI54914NONEPUBLIC CHARITYTRI-COUNTY DENTAL/MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY COLLABORATION.$18,000
UNITED WAY OF CENTRAL MARYLAND
100 S CHARLES ST 5TH FLOORBALTIMOREMD21201NONEPUBLIC CHARITYBALTIMORE MISSION OF MERCY EVENT.$5,000
UNIVERSITY OF CINCINNATI FOUNDATION
PO BOX 19970CINCINNATIOH45219NONEPUBLIC CHARITYUNIVERSITY OF CINCINNATI BLUE ASH COMMUNITY DENTAL DAY.$3,350
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,184,798TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$595,088ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$652,830ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,247,918ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,247,918TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (24 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
SIT INVESTMENTS
13300 IDS CENTER 80 SOUTH 8TH STREETMINNEAPOLISMN55402$17,438Yes (X)
ACTEON NORTH AMERICA
2124 GAITHER DRIVE SUITE 140MOUNT LAURELNJ08054$10,500Yes (X)
SEPTODONT
3205 GRANITE RUN DRIVE SUITE 150LANCASTERPA17601$10,000Yes (X)
VEDCON
45503 CORPORATE DRIVEST JOSEPHMO64507$5,000Yes (X)
SEMPERMED USA INC
513900 49TH STREET NORTHCLEARWATERFL33762$81,430Yes (X)
SIRONA DENTAL SYSTEMS INC
64835 SIRONA DRIVE SUITE 100CHARLOTTENC28273$30,850Yes (X)
IVOCLAR VIVADENT INC
7175 PINEVIEW DRIVEAMHERSTNY14228$15,000Yes (X)
MIDMARK CORPORATION
860 VISTA DRIVE PO BOX 286VERSAILLESOH45380$10,125Yes (X)
3M ESPE DENTAL PRODUCTS
93M CENTER BUILDING 275-02-E-03ST PAULMN55144$10,000Yes (X)
NICK ABRUZZO
104626 CROOKED STICK CTEAGANMN55123$15,125Yes (X)
SCICAN
11701 TECHNOLOGY DRIVECANONSBURGPA15317$10,000Yes (X)
HU-FRIEDY
123232 N ROCKWELL STREETCHICAGOIL60618$10,000Yes (X)
DENTSPLY INTERNATIONAL INC
13570 W COLLEGE AVENUEYORKPA17401$10,000Yes (X)
A-DEC INC
142601 CRESTVIEW DRIVENEWBERGOR97132$10,000Yes (X)
JOHN ADENT
153762 TAYSIDE CTTIMNATHCO80547$5,650Yes (X)
PROFESSIONAL SALES ASSOCIATES INC
165045 PARK AVE WEST SUITE 1BSEVILLEOH44273$5,100Yes (X)
METREX
1711727 FRUEHAUF DRIVECHARLOTTENC28273$20,000Yes (X)
AIR TECHNIQUES
181295 WALT WHITMAN ROADMELVILLENY11747$5,000Yes (X)
KEVIN POHLMAN
1935160 MORNING STAR CTWINDSORCO80550$5,000Yes (X)
WESLEY FIELD
2023145 WOODLAND RIDGE DRIVELAKEVILLEMN55044$5,000Yes (X)
PAM HEMMEN
2171 RHINE PLTEUTPOLISIL62467$7,500Yes (X)
SUSAN GRELLING
22318 OAK RIDGE DRVADNAIS HEIGHTSMN55127$5,000Yes (X)
CECILE AND ROBERT SCHAUER
23797 TROTTERS RIDGEEAGANMN55123$5,125Yes (X)
NEIL AND ISABEL MCFADDEN
24215 CHANCELLORS PARK CTSIMPSONVILLESC29681$9,225Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING AND AUDITINGCategoryTxt
Amt$15,671Amt
Net Investment Income$5,485NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$10,186DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (4 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MONEY MARKET FUNDSFMV$94,144$94,144
EQUITIESFMV$13,323,019$13,323,019
BONDS AND NOTESFMV$4,502,347$4,502,347
POOLED, COMMON AND COLLECTIVE FUNDSFMV$3,193,778$3,193,778

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACCRUED INTEREST AND DIVIDENDS$46,032$46,115$46,115
EXCISE TAX REFUND$5,725

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MISCELLANEOUS$14,156$0$0$14,156
FUNDRAISING$8,547$0$0$8,547
GRANTS MANAGEMENT SOFTWARE$3,432$0$0$3,432

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
NET UNREALIZED GAINS$385,339
PRIOR YEAR GRANT RECOVERIES$5,203

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT MANAGEMENT FEES$161,727$161,727$0$0
SCHOLARSHIP FEES$14,720$0$0$14,720

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXESCategoryTxt
Amt$17,034Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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