RENAISSANCE FAMILY FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
RENAISSANCE FAMILY FOUNDATION INC (EIN 46-1376165)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201613199349101026
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

FieldValueIRS element (for citing)
Return2016-11-14T13:12:37-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 Michigan Ave Ste 100AddressLine1Txt
CityEast LansingCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48823ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461376165EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RENAISSANCE FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRENABusinessNameControlTxt
Phone5173496000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 OKEMOS ROADAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGoran JurkovicPersonNm
Person TitleOFFICERPersonTitleTxt
Phone5173496000PhoneNum
Signature2016-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHAL CPAPreparerPersonNm
PTINP00378651PTIN
Phone5173326200PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,784,921FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,000,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$1,634InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,634InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$9,949DividendsRevAndExpnssAmt
Dividends Net Invst Incm$9,949DividendsNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,011,583TotalRevAndExpnssAmt
Total Net Invst Incm$11,583TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Expenses Rev And Expnss$8,005OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$8,005TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$49,790ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$49,790ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$57,795TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$49,790TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$953,788ExcessRevenueOverExpensesAmt
Net Investment Income$11,583NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$346,824CashBOYAmt
Cash EOY$284,491CashEOYAmt
Cash EOYFMV$284,491CashEOYFMVAmt
Sav And Temp Cash Invst BOY$6,052SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$1,018,515SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$1,018,515SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$494,868CorporateStockBOYAmt
Corporate Stock EOY$480,295CorporateStockEOYAmt
Corporate Stock EOYFMV$480,295CorporateStockEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$1,620OtherAssetsEOYAmt
Other Assets EOYFMV$1,620OtherAssetsEOYFMVAmt
Total Assets BOY$847,744TotalAssetsBOYAmt
Total Assets EOY$1,784,921TotalAssetsEOYAmt
Total Assets EOYFMV$1,784,921TotalAssetsEOYFMVAmt
Other Liabilities BOY$2,045OtherLiabilitiesBOYAmt
Other Liabilities EOY$7OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,045TotalLiabilitiesBOYAmt
Total Liabilities EOY$7TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$845,699UnrestrictedBOYAmt
Unrestricted EOY$1,784,914UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$845,699TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,784,914TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$847,744TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,784,921TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$845,699TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$953,788ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,799,487SubtotalAmt
Other Decreases$14,573OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,784,914TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$92,318AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$701,583NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.131585DistributionYr1Rt
Adjusted Qlfy Distri Yr2$50,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$976,775NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.051189DistributionYr2Rt
Adjusted Qlfy Distri Yr3$0AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$123,125NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.000000DistributionYr3Rt
Total Distribution0.182774TotalDistributionRt
Average Distribution0.060925AverageDistributionRt
Net Vl Noncharitable Assets$305,308NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$18,601AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$116NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$18,717AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$49,790QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$116InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$116SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$116TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$116TaxDueAmt

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 StateINOrgReportOrRegisterStateCd
Org Report Or Register StateMIOrgReportOrRegisterStateCd
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 AddressNAWebsiteAddressTxt
Individual With BooksGoran JurkovicIndividualWithBooksNm
Phone5173496000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line14100 OKEMOS ROADAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Laura L Czelada CPA
4100 Okemos RoadOKEMOSMI48864President/Director1.00$0$0$0
Goran M Jurkovic
4100 Okemos RoadOKEMOSMI48864Treasurer/Director1.00$0$0$0
Robert P Mulligan
4100 Okemos RoadOKEMOSMI48864Secretary/Director1.00$0$0$0
Teri Battaglieri
4100 Okemos RoadOKEMOSMI48864Executive Director/Director4.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1KANAWHA COUNTY DENTAL HEALTH COUNCIL INC - PURCHASE OF DENTAL EQUIPMENTDescription1Txt
Expenses1$10,000Expenses1Amt
Description2SOUTHWESTERN COMMUNITY ACTION COUNCIL - IMPLEMENTATION OF BRUSH ORAL HEALTH CURRICULUMDescription2Txt
Expenses2$13,782Expenses2Amt
Description3MCMILLEN CENTER FOR HEALTH EDUCATION - BRUSH curriculum FUNDING FOR GA HEAD START PROGRAMDescription3Txt
Expenses3$21,909Expenses3Amt
Description4MANATEE COMMUNITY ACTION AGENCY INC - BRUSH ORAL HEALTH CIRRICULUMDescription4Txt
Expenses4$4,099Expenses4Amt

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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$309,957AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$309,957TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$309,957AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$4,649CashDeemedCharitableAmt
Net Vl Noncharitable Assets$305,308NetVlNoncharitableAssetsAmt
Minimum Investment Return$15,265MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$15,265MinimumInvestmentReturnAmt
Tax Based On Investment Income$116TaxBasedOnInvestmentIncomeAmt
Total Tax$116TotalTaxAmt
Distributable Before Adj$15,149DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$15,149DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$15,149DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$49,790ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$49,790QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$116PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$49,674AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$15,149DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$56,776ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$56,776TotalExcessDistributionCyovAmt
Qualifying Distributions$49,790QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$15,149AppliedToCurrentYearAmt
Remaining Distri From Corpus$34,641RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$91,417TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$91,417ExcessDistriCyovToNextYrAmt
Excess From Year1$56,776ExcessFromYear1Amt
Excess From Current Year$34,641ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MCMILLEN CENTER FOR HEALTH EDUCATION
600 JIM KELLY BLVDFORT WAYNEIN46816NONEPCBRUSH curriculum FUNDING FOR GA HEAD START PROGRAM$21,909
KANAWHA COUNTY DENTAL HEALTH COUNCIL INC
100 FLORIDA STCHARLESTONWV25302NONEPCDONATION FOR DENTAL CHAIR$10,000
SOUTHWESTERN COMMUNITY ACTION COUNCIL INC
540 FIFTH AVEHUNTINGTONWV25701NONEPCIMPLEMENTATION OF BRUSH ORAL HEALTH CURRICULUM$13,782
MANATEE COMMUNITY ACTION AGENCY INC
302 MANATEE AVE EASTBRADENTONFL34208NONEPCIMPLEMENTATION OF BRUSH ORAL HEALTH CURRICULUM$4,099
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$49,790TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,634ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$9,949ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$11,583ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$11,583TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3INTEREST ON SHORT TERM INVESTMENTS
4DIVIDENDS ON SHORT TERM INVESTMENTS

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 EOYes (1)RelationshipsNonchrtblEOInd

Relationship Schedule Detail RelationshipScheduleDetail (9 entries)

Organization TypeOrganizationTypeDescRelationship DescriptionRelationshipDescriptionTxt
RENAISSANCE HEALTH SERVICE CORPORATION
501(C)(4)INDIRECT CONTROLLING ENTITY
DELTA DENTAL PLAN OF MICHIGAN INC
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL OF TENNESSEE INC
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL PLAN OF NEW MEXICO INC
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL OF NORTH CAROLINA
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL PLAN OF OHIO inc
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL PLAN OF INDIANA inc
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL PLAN OF ARKANSAS
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION
DELTA DENTAL OF KENTUCKY INC
501(C)(4)COMMONLY CONTROLLED INDIRECTLY BY RENAISSANCE HEALTH SERVICE CORPORATION

Schedule B IRS990ScheduleB

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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICABusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30416AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP489097916ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,000,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockMUTUAL FUNDSStockNm
EOY Book Value$480,295EOYBookValueAmt
EOYFMV$480,295EOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescINTEREST RECEIVABLEDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$1,620EOYBookValueAmt
EOYFMV$1,620EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescNET UNREALIZED LOSSDesc
Amt$14,573Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
REGULATORY AGENCY FEES$84$0$0
BANK CHARGES$2,778$0$0
contract labor$244$0$0
PROMOTIONAL EXPENSES$4,893$0$0
FEDERAL TAX EXPENSE$6$0$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
BOY Book Value$2,045BOYBookValueAmt
EOY Book Value$7EOYBookValueAmt

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