FURP.ORG / PUBLIC DATA EXPLORER

PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST (EIN 34-2012430)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-15
IRS object ID
201720469349301977
Schema version
2015v3.0
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)
Return2017-02-15T09:52:04-08:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Goranson and Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1717 College Avenue First FloorAddressLine1Txt
CitySanta RosaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95404ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN342012430EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pediatric Dental InitiativeBusinessNameLine1Txt
Business Name Line2of the North Coast IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPEDIBusinessNameControlTxt
Phone7078378833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 19th Hole DriveAddressLine1Txt
CityWindsorCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95492ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonViveka RydellPersonNm
Person TitleCEOPersonTitleTxt
Signature2017-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSusan E GoransonPreparerPersonNm
PTINP00049464PTIN
Phone7075421256PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerViveka RydellPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 19th Hole DriveAddressLine1Txt
CityWindsorCityNm
State AbbreviationCAStateAbbreviationCd
ZIP954927713ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,621,552GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pdisurgerycenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo maintain a sustainable dentistry resource that will serve the low income children of Northern California who need safe sedation for dental treatment, and to provide prevention education and promote oral health.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee30TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$640,022PYContributionsGrantsAmt
CY Contributions Grants$852,454CYContributionsGrantsAmt
PY Program Service Revenue$3,103,591PYProgramServiceRevenueAmt
CY Program Service Revenue$3,315,801CYProgramServiceRevenueAmt
PY Investment Income-$1,162PYInvestmentIncomeAmt
CY Investment Income$122,460CYInvestmentIncomeAmt
PY Other Revenue$196,194PYOtherRevenueAmt
CY Other Revenue$315,908CYOtherRevenueAmt
PY Total Revenue$3,938,645PYTotalRevenueAmt
CY Total Revenue$4,606,623CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,118,749PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,274,798CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$124,304CYTotalFundraisingExpenseAmt
PY Other Expenses$2,266,052PYOtherExpensesAmt
CY Other Expenses$2,374,405CYOtherExpensesAmt
PY Total Expenses$3,384,801PYTotalExpensesAmt
CY Total Expenses$3,649,203CYTotalExpensesAmt
PY Revenues Less Expenses$553,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$957,420CYRevenuesLessExpensesAmt
Total Assets BOY$2,463,213TotalAssetsBOYAmt
Total Assets EOY$3,411,292TotalAssetsEOYAmt
Total Liabilities BOY$234,425TotalLiabilitiesBOYAmt
Total Liabilities EOY$265,738TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,228,788NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,145,554NetAssetsOrFundBalancesEOYAmt
MissionTo maintain a sustainable dentistry resource that will serve the low income children of Northern California who need safe sedation for dental treatment, and to provide prevention education and promote oral health.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,261,386ExpenseAmt
Revenue$3,315,771RevenueAmt
DescPDI Surgery Center provides an oral surgery resource for children from low-income families, and children and adults with developmental disabilities, throughout Northern California. Since opening in January 2008, over 15,000 children have received treatment and over 188 families have received travel assistance.The case management component of PDI Surgery Center is intended to improve long-term oral health outcomes in young children, and in children and adults with developmental disabilities who live in Northern California. Case managers provide extensive support to health care providers and families seeking care at the surgery center. PDI works collaboratively with case managers from referral agencies to assist with filling out referral forms, protocols and procedures into existing case management systems. Our case managers travel throughout Sonoma, Mendocino, Lake, Napa and Marin counties to increase efficiencies in the referral and follow up process.PDI case managers act as problem solvers for families, referring agencies, the community and the surgery center. Their primary responsibility is to provide necessary services to families, assisting them with gaining access to dental services under general anesthesia. These responsibilities include: providing interpretive services, arranging transportation for clients to and from the clinic, lodging if necessary and ensuring that all forms are filled out in a timely manner. Case managers ensure that patients are enrolled in the health insurance program for which they are eligible, and will facilitate that enrollment prior to treatment. If a family is not eligible for an insurance program, and cannot afford care, the case manager will assist the family in applying for enrollment in a Patient Sponsorship Program. As part of its long-term strategy to reduce the need for intervention surgery services, PDI case managers combine prevention education and community outreach efforts to best educate families.PDIs unique Patient Sponsorship Program (PSP) helps families bridge access barriers that include expensive transportation, lodging and medication costs. Other considerations include subsidizing treatment expenses, based on a sliding scale, for families who do not qualify for MediCal, Healthy Families, or other insurance programs.Desc
Total Program Service Expenses$3,261,386TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
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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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee30EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
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
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 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
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonViveka RydellPersonNm
Phone7078378833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 19th Hole DriveAddressLine1Txt
CityWindsorCityNm
State AbbreviationCAStateAbbreviationCd
ZIP954927713ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Surani Kwan
Vice Chair2.000.00Yes (X)$0$0$0
Ross E Stromberg
Chair2.000.00Yes (X)$0$0$0
Max Dunn
Treasurer2.000.00Yes (X)$0$0$0
Katherine Foster
Secretary2.000.00Yes (X)$0$0$0
Bill Hawn
Director2.000.00Yes (X)$0$0$0
Connie Codding
Director2.000.00Yes (X)$0$0$0
Tom Jordan
Director2.000.00Yes (X)$0$0$0
Jesus Guzman
Director2.000.00Yes (X)$0$0$0
Suzie Shupe
Director2.000.00Yes (X)$0$0$0
Jack Tibbetts
Director2.000.00Yes (X)$0$0$0
Thomas Cleland
Director2.000.00Yes (X)$0$0$0
Tara Jasper
Director2.000.00Yes (X)$0$0$0
Viveka Rydell
CEO40.000.00$100,197$0$0Yes (X)
Julie Tucker
Administrator40.000.00$129,247$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$229,444TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Susan Ryan DDS
Post Office Box 218PetalumaCA94953Dentist$173,500
Mark Hagele DDS
101 Providence Mine RoadNevada CityCA95959Dental Director$166,300
Michael Mundell MD
1400 Quail CourtSanta RosaCA95404Anesthesiologist$144,600
Inc lukolt
1236 Sexton RoadsebastopolCA95472Dentist$139,500
Tanvi Shah DDS
1071 Via AltaLafayetteCA94549Dentist$126,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$852,454AllOtherContributionsAmt
Total Contributions$852,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other income$30$30
Program fees$3,315,771$3,315,771
FieldValueIRS element (for citing)
Total Program Service Revenue$3,315,801TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,460TotalRevenueColumnAmt
Exclusion$122,460ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$330,837FundraisingGrossIncomeAmt
Fundraising Direct Expenses$14,929FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$315,908TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,606,623TotalRevenueColumnAmt
Related Or Exempt Func Income$3,315,801RelatedOrExemptFuncIncomeAmt
Exclusion$122,460ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$229,444TotalAmt
Program Services$129,247ProgramServicesAmt
Management And General$75,148ManagementAndGeneralAmt
Fundraising$25,049FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$886,748TotalAmt
Program Services$767,043ProgramServicesAmt
Management And General$38,733ManagementAndGeneralAmt
Fundraising$80,972FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$68,782TotalAmt
Program Services$55,204ProgramServicesAmt
Management And General$7,016ManagementAndGeneralAmt
Fundraising$6,562FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$89,824TotalAmt
Program Services$71,669ProgramServicesAmt
Management And General$9,107ManagementAndGeneralAmt
Fundraising$9,048FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,358,781TotalAmt
Program Services$1,347,637ProgramServicesAmt
Management And General$11,144ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$44,392TotalAmt
Program Services$36,076ProgramServicesAmt
Management And General$5,643ManagementAndGeneralAmt
Fundraising$2,673FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$229,290TotalAmt
Program Services$182,851ProgramServicesAmt
Management And General$46,439ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$114,970TotalAmt
Program Services$114,970ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,981TotalAmt
Program Services$15,938ProgramServicesAmt
Management And General$5,043ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
supplies and equipment$480,559$480,559
Other operating expenses$38,461$6,125$32,336
Program expense$37,679$37,679
Impairment of asset$25,000$25,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,292TotalAmt
Program Services$16,388ProgramServicesAmt
Management And General$7,904ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,649,203TotalAmt
Program Services$3,261,386ProgramServicesAmt
Management And General$263,513ManagementAndGeneralAmt
Fundraising$124,304FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$420,763BOYAmt
EOY$430,013EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$175,099BOYAmt
EOY$992,904EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$839,801BOYAmt
EOY$338,653EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$63,391BOYAmt
EOY$57,685EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,577BOYAmt
EOY$25,177EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,178,605LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$884,602LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$357,287BOYAmt
EOY$294,003EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$236,295BOYAmt
EOY$947,207EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt
EOY$125,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$201,000BOYAmt
EOY$200,650EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,463,213BOYAmt
EOY$3,411,292EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$234,425BOYAmt
EOY$265,738EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$234,425BOYAmt
EOY$265,738EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,057,650BOYAmt
EOY$3,012,922EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,138BOYAmt
EOY$132,632EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,228,788BOYAmt
EOY$3,145,554EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,463,213BOYAmt
EOY$3,411,292EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$957,420ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$40,654NetUnrlzdGainsLossesInvstAmt
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$541,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$236,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,155,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$836,216CurrentTaxYearMinus1YearAmt
Current Tax Year$852,454CurrentTaxYearAmt
Total$3,622,200TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$541,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$236,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,155,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$836,216CurrentTaxYearMinus1YearAmt
Current Tax Year$852,454CurrentTaxYearAmt
Total$3,622,200TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$3,622,200PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$165CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,108CurrentTaxYearMinus2YearsAmt
Current Tax Year$122,460CurrentTaxYearAmt
Total$124,797TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year-$1,162CurrentTaxYearMinus1YearAmt
Total-$1,162TotalAmt
FieldValueIRS element (for citing)
Total Support$3,745,835TotalSupportAmt
Public Support CY1700.96700PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$855,170OtherCostOrOtherBasisAmt
Depreciation$741,147DepreciationAmt
Book Value$114,023BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,113OtherCostOrOtherBasisAmt
Depreciation$10,113DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$313,322OtherCostOrOtherBasisAmt
Depreciation$133,342DepreciationAmt
Book Value$179,980BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$294,003TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
Descother receivablesDesc
Book Value$200,650BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$200,650TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,565,969TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$40,654NetUnrealizedGainsInvstAmt
Revenue Not Reported-$40,654RevenueNotReportedAmt
Revenue Subtotal$4,606,623RevenueSubtotalAmt
Total Revenue Per Form990$4,606,623TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,649,203TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$3,649,203ExpensesSubtotalAmt
Total Expenses Per Form990$3,649,203TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationPDI is exempt from Federal and State Income taxes under Internal Revenue Code Section 501(c)(3) and California Franchise Tax Board Code Section 23701d. Therefore, no provision for income taxes has been made in the accompanying financial statements. In addition, the Internal Revenue Service has determined PDI is not a private foundation within the meaning of Section 509(a) of the Internal Revenue Code.Management of PDI considers the likelihood of changes by taxing authorities in its filed tax returns and recognizes a liability for or discloses potential significant changes if management believes it is more likely than not for a change to occur, including changes to PDIs status as a not-for-profit entity. Management believes PDI met the requirements to maintain its tax-exempt status and has no income subject to unrelated business income tax; therefore, no provision for income taxes has been provided in these financial statements. PDIs tax returns for the past three years are subject to examination by tax authorities, and may change upon examination.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Make Kids Smile Luncheon/Gold EventEvent1Nm
Gross Receipts Event1$330,837GrossReceiptsEvent1Amt
Gross Revenue Event1$330,837GrossRevenueEvent1Amt
Other Direct Expenses Event1$14,929OtherDirectExpensesEvent1Amt
Gross Receipts Total$330,837GrossReceiptsTotalAmt
Gross Revenue Total Events$330,837GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$14,929OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,929DirectExpenseSummaryEventsAmt
Net Income Summary$315,908NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process990 is emailed to board and reviewed by finance committee before submission
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAgenda item
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesReviewed and set by board annually
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments available upon request