NORTHEAST DELTA DENTAL FOUNDATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST DELTA DENTAL FOUNDATION INC (EIN 02-0489150)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201603169349301505
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T09:05:18-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020489150 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeast Delta Dental Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 6032231000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2002 | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022002 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS RAFFIO | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 6032231000 | PhoneNum |
| Signature | 2016-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | E Drew Cheney | PreparerPersonNm |
| PTIN | P00182972 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2016-11-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas Raffio | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2002 | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $818,146 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nedelta.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Promote dental health and education in northern New England | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $257,282 | PYContributionsGrantsAmt |
| CY Contributions Grants | $673,586 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $281,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $94,968 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $539,089 | PYTotalRevenueAmt |
| CY Total Revenue | $768,554 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $258,429 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $324,738 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,152 | PYOtherExpensesAmt |
| CY Other Expenses | $8,750 | CYOtherExpensesAmt |
| PY Total Expenses | $266,581 | PYTotalExpensesAmt |
| CY Total Expenses | $333,488 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $272,508 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $435,066 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,094,668 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,253,065 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,000 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,094,668 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,228,065 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To promote dental health and education in northern New England | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $219,019 | ExpenseAmt |
| Grant | $219,019 | GrantAmt |
| Desc | Dental Equipment and Supplies: Cash donations to 29 nonprofit dental clinics to purchase dental equipment and supplies to serve patients who cannot afford dental care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $62,000 | ExpenseAmt |
| Grant | $62,000 | GrantAmt |
| Desc | Oral Health Education Programs and Public Policy Development: Cash donations to 11 organizations to sponsor oral health education programs. Donations of printed materials and supplies to schools, nonprofit dental clinics, and other organizations to provide oral health education programs. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $43,719 | ExpenseAmt |
| Grant | $43,719 | GrantAmt |
| Desc | In-School Programs for Children: Cash donations to 9 organizations to sponsor in-school education programs on fluoride rinse or sealants for children. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $324,738 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kathleen B Walker | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032231000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o One Delta Drive | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033022002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| Paul A Averill DDS | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Michael Degnan | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Demitroula Kouzounas DMD | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Suzanne M McDowell | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Barry C Saltz DDS | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Eleanor H Vien | ||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Terence A Wardrop | ||||||
| Director | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Melvin J Severance III | ||||||
| Chair & Director | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Thomas Raffio | ||||||
| President & Director | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Kathleen B Walker | ||||||
| Treasurer & Director | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Jennifer L McGrath | ||||||
| Assistant Treasurer | 4.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $19,249 | FundraisingAmt |
| All Other Contributions | $654,337 | AllOtherContributionsAmt |
| Total Contributions | $673,586 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,076 | TotalRevenueColumnAmt |
| Exclusion | $70,076 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $65,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $40,108 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,892 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,892 | TotalRevenueColumnAmt |
| Exclusion | $24,892 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $9,484 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $19,249 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,484 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $768,554 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $94,968 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,738 | TotalAmt |
| Program Services | $324,738 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Management And General | $2,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,175 | TotalAmt |
| Management And General | $6,175 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | State of NH filing fees | Desc |
| Total | $75 | TotalAmt |
| Management And General | $75 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,488 | TotalAmt |
| Program Services | $324,738 | ProgramServicesAmt |
| Management And General | $8,750 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,269,744 | BOYAmt |
| EOY | $321,036 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,600 | BOYAmt |
| EOY | $566,600 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,324 | BOYAmt |
| EOY | $3,365,429 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,094,668 | BOYAmt |
| EOY | $4,253,065 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,905,852 | BOYAmt |
| EOY | $4,089,249 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,816 | BOYAmt |
| EOY | $138,816 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,094,668 | BOYAmt |
| EOY | $4,228,065 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,094,668 | BOYAmt |
| EOY | $4,253,065 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $435,066 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$301,669 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $650,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $648,757 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $416,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $259,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $679,490 | CurrentTaxYearAmt |
| Total | $2,655,606 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $650,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $648,757 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $416,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $259,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $679,490 | CurrentTaxYearAmt |
| Total | $2,655,606 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,343,088 | SubstantialContributorsTotAmt |
| Public Support Total170 | $312,518 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,382 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $66,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,082 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,076 | CurrentTaxYearAmt |
| Total | $358,597 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,014,203 | TotalSupportAmt |
| Public Support CY170 | 0.10370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.10740 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | The Organization meets the "facts and circumstances" test for the following reasons:- Through its activities, the Organization regularly and continuously benefits many thousands of members of the general public.- The Organization encourages donations from the general public through the website of Northeast Delta Dental (a group of nonprofit organizations) and through other means.- The Organization's Board does not represent any narrow interests and is committed to representing all of the citizens of northern New England who are most in need of dental care assistance. | FactsAndCircumstancesTestTxt |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II, Section A, Line 1 | FormAndLineReferenceDesc |
| Explanation | Line 1 includes $2,500 as a very conservative estimate of the amount of annual in-kind non-cash contributions which are not included on the organization's books. These contributions are support from the general public. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,078,143 | BeginningYearBalanceAmt |
| Contributions | $566,600 | ContributionsAmt |
| Investment Earnings Or Losses | -$206,701 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $216,814 | OtherExpendituresAmt |
| End Year Balance | $4,221,228 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,977,210 | BeginningYearBalanceAmt |
| Contributions | $157,600 | ContributionsAmt |
| Investment Earnings Or Losses | $87,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $144,124 | OtherExpendituresAmt |
| End Year Balance | $4,078,143 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,449,410 | BeginningYearBalanceAmt |
| Contributions | $167,500 | ContributionsAmt |
| Investment Earnings Or Losses | $482,357 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $122,057 | OtherExpendituresAmt |
| End Year Balance | $3,977,210 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,820,677 | BeginningYearBalanceAmt |
| Contributions | $401,900 | ContributionsAmt |
| Investment Earnings Or Losses | $332,044 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $105,211 | OtherExpendituresAmt |
| End Year Balance | $3,449,410 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,642,281 | BeginningYearBalanceAmt |
| Contributions | $405,200 | ContributionsAmt |
| Investment Earnings Or Losses | -$130,207 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $96,597 | OtherExpendituresAmt |
| End Year Balance | $2,820,677 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.96710 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03290 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | To help ensure that the Foundation can continue to promote dental health and education in Northern New England | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $26,973 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,489 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $9,484 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $7,787 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,697 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $26,973 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,489 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $9,484 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,787 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,697 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,484 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Access Health dba Leavitt's Mill Free Health Center | ||||||||
| PO Box 47 | Bar Mills | ME | 04004 | 010757566 | 501(c)(3) | $5,000 | Dental Supplies | |
| Ammonoosuc Community Health Services | ||||||||
| 25 Mount Eustis Road | Littleton | NH | 03561 | 510137745 | 501(c)(3) | $10,000 | Dental Equipment | |
| Catholic Charities MaineJesse Albert Dental Center | ||||||||
| PO Box 10660 | Portland | ME | 04104 | 010280225 | 501(c)(3) | $5,000 | Dental Equipment | |
| Champlain Valley Head StartEarly Head Start | ||||||||
| Champlain Valley Office of Economic | Burlington | VT | 05402 | 030216837 | 501(c)(3) | $32,000 | Tooth Tutor Program | Opportunity 255 South Champlain Str |
| Children's Oral Health Program Portland Public Health & Human Services | ||||||||
| 1600 Forest Avenue | Portland | ME | 042407291 | 016000032 | 501(c)(3) | $9,500 | Dental Equipment | |
| Community Clinical Services | ||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010409788 | 501(c)(3) | $5,256 | Portable Dental Chair | |
| Concord Dental Sealant Coalition | ||||||||
| PO Box 1062 | Concord | NH | 03301 | 262799313 | 501(c)(3) | $6,500 | School-Based Dental Program | |
| Concord Hospital Trust | ||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 222594672 | 501(c)(3) | $20,000 | Benefactors Circle - Dental Clinic | |
| Dancing with the Dentists Inc | ||||||||
| 202 US Route 1 | Falmouth | ME | 04105 | 463017043 | 501(c)(3) | $5,000 | Fundraising Event | |
| Dental Lifeline Network of NH (Donated Dental Services) | ||||||||
| 1800 15th Street Suite 100 | Denver | CO | 80202 | 846129064 | 501(c)(3) | $15,000 | Program Support | |
| Easter Seals NH | ||||||||
| 555 Auburn Street | Manchester | NH | 03103 | 020272825 | 501(c)(3) | $5,000 | Dental Clinic Support | |
| Families First Health of the Greater Seacost | ||||||||
| 100 Campus Drive Suite 12 | Portsmouth | NH | 03801 | 222757341 | 501(c)(3) | $8,000 | Program Support | |
| Frisbie Memorial Hospital | ||||||||
| 11 Whitehall Road | Rochester | NH | 03867 | 020222131 | 501(c)(3) | $6,500 | School-Based Dental Program | |
| Good Neighbor Health Clinic & Red Logan Dental Clinic | ||||||||
| 70 North Main Street | White River Junction | VT | 05001 | 030346949 | 501(c)(3) | $6,000 | Program Support and Dental Supplies | |
| Goodwin Community Health | ||||||||
| 311 Route 108 | Somersworth | NH | 03878 | 020304203 | 501(c)(3) | $8,500 | Dental Equipment | |
| Harbor Homes | ||||||||
| 45 High Street | Nashua | NH | 03060 | 020351932 | 501(c)(3) | $10,000 | Dental Clinic | |
| Kennebec Family Dentistry | ||||||||
| 269 Water Street | Augusta | ME | 04330 | 263322306 | 501(c)(3) | $5,000 | Dental Equipment | |
| Leland and Gray Union Middle and High School | ||||||||
| PO Box 128 | Townshend | VT | 05353 | 030220993 | Government | $6,900 | Dental Referral Program | |
| Lunder-Dineen Education Alliance of Maine a program of Mass Gen Hospital | ||||||||
| PO Box 1505 | Bangor | ME | 044021505 | 900656139 | 501(c)(3) | $5,000 | Oral Health Education Program | |
| MaineHealth | ||||||||
| 110 Free Street | Portland | ME | 04101 | 010431680 | 501(c)(3) | $8,000 | From the First Tooth | |
| Maine Community Foundation | ||||||||
| 245 Main Street | Ellsworth | ME | 04605 | 010391479 | 501(c)(3) | $50,000 | Local Oral Health Initiatives in Maine | |
| Maine Health Access Foundation | ||||||||
| 150 Capitol Street Suite 4 | Augusta | ME | 04330 | 010535144 | 501(c)(3) | $5,000 | Maine Oral Health Funders Consultant | |
| Merrimack County Nursing Program | ||||||||
| 325 Daniel Webster Highway | Boscawen | NH | 03303 | 026000546 | 501(c)(3) | $5,000 | Dental Equipment | |
| Open Door Clinic | ||||||||
| 100 Porter Drive | Middlebury | VT | 05753 | 030359531 | 501(c)(3) | $6,520 | Dental Equipment and Software | |
| South Royalton SchoolHealthHub | ||||||||
| 223 South Windsor Street | South Rovalton | VT | 05068 | 030370825 | 501(c)(3) | $5,000 | School-Based Dental Program | |
| Springfield Medical Care Systems | ||||||||
| 25 Ridgewood Road | Springfield | VT | 05156 | 030284813 | 501(c)(3) | $5,000 | Dental Equipment | |
| United Way of Windham County | ||||||||
| PO Box 617 | Brattleboro | VT | 05301 | 036003074 | 501(c)(3) | $5,000 | Free Adult Dental Care Day | |
| University of VT College of Dental Medicine (FKA Fletcher Allen Healthcare) | ||||||||
| 111 Colchester Avenue | Burlington | VT | 05401 | 030219309 | 501(c)(3) | $8,500 | General Practice Dental Residency Program | |
| Windsor Hospital Corp dba Mt Ascutney Hospital | ||||||||
| 289 County Road | Windsor | VT | 05089 | 030183721 | 501(c)(3) | $5,347 | Windsor Smiles - School-Based Dental Program | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 29 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Donation recipients are required to send a report annually detailing how the money was spent, using statistics of patients served, utilization of machinery, or other specifics. These reports are monitored by the Foundation Treasurer who tracks the receipt of the annual reports. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The Foundation has three members: Delta Dental Plan of New Hampshire, Inc.; Delta Dental Plan of Vermont, Inc.; and Maine Dental Services Corporation. All three members are tax-exempt under Internal Revenue Code Section 501(c)(4). |
| Form 990, Part VI, Section A, line 7a | The members elect the Foundation's Board of Directors. |
| Form 990, Part VI, Section A, line 7b | In addition to electing the Board of Directors, the members have the power to remove directors, repeal or change bylaws by 2/3rd member vote (Board has primary authority to amend bylaws), and to dissolve the Corporation by 2/3rd member vote. |
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed in detail by key finance employees of Northeast Delta Dental. A final draft is presented to the Board before the Form 990 is filed. |
| Form 990, Part VI, Section B, line 12c | A copy of the conflict of interest policy is distributed annually to all officers, directors, and the management team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. General Counsel reviews the returned policies and reports the results to the entire Board of Directors. Board members are asked to provide updates of any changes that may occur between their annual conflict of interest filings. |
| Form 990, Part VI, Section C, line 19 | Upon request, Northeast Delta Dental Foundation makes its governing documents, conflict of interest policy, or financial statements available to the public. |
Comments