SEATTLE KING COUNTY DENTAL FOUNDATION: Form 990, tax year 2015
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- Organization
- SEATTLE KING COUNTY DENTAL FOUNDATION (EIN 94-3170367)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-22
- IRS object ID
- 201613279349300021
- 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 | 2016-11-22T13:21:24-08:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 911705418 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUBY AND THOMSON PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1109 1ST AVE STE 210 | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 981012961 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943170367 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEATTLE-KING COUNTY DENTAL | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SEAT | BusinessNameControlTxt |
| Phone | 2064486615 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 HARVARD AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER FREIMUND | PersonNm |
| Person Title | EXECUTIVE DIR. | PersonTitleTxt |
| Phone | 2064486615 | PhoneNum |
| Signature | 2016-09-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAMELA A THOMSON | PreparerPersonNm |
| PTIN | P00172042 | PTIN |
| Phone | 2066284991 | PhoneNum |
| Preparation | 2016-11-22 | 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 | JENNIFER FREIMUND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 HARVARD AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $275,041 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SKCDS.ORG/FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | FOUNDATION IS DEDICATED TO PROACTIVELY ELIMINATING DENTAL INFECTION AND PAIN IN THE KING COUNTY POPULATION THAT LACKS RESOURCES AND/OR ACCESS TO DENTAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $24,356 | PYContributionsGrantsAmt |
| CY Contributions Grants | $117,522 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $60,986 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,136 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,823 | PYOtherRevenueAmt |
| CY Other Revenue | $32,602 | CYOtherRevenueAmt |
| PY Total Revenue | $119,165 | PYTotalRevenueAmt |
| CY Total Revenue | $162,260 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $190,549 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $837 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,051 | PYOtherExpensesAmt |
| CY Other Expenses | $12,450 | CYOtherExpensesAmt |
| PY Total Expenses | $203,600 | PYTotalExpensesAmt |
| CY Total Expenses | $32,450 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$84,435 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $129,810 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $461,594 | TotalAssetsBOYAmt |
| Total Assets EOY | $599,055 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $461,594 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $599,055 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FOUNDATION IS DEDICATED TO PROACTIVELY ELIMINATING DENTAL INFECTION AND PAIN IN THE KING COUNTY POPULATION THAT LACKS RESOURCES AND/OR ACCESS TO DENTAL CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $20,000 | ExpenseAmt |
| Grant | $20,000 | GrantAmt |
| Desc | PROVIDING FUNDING FOR EQUIPMENT FOR INTERNATIONAL COMMUNITY HEALTH SERVICES, A NONPROFIT COMMUNITY HEALTH CENTER. | Desc |
| Total Program Service Expenses | $20,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER FREIMUND | PersonNm |
| Phone | 2064486615 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 HARVARD AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| DR CYNTHIA PAULEY | |||||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR FRANCO AUDIA | |||||||
| SECRETARY/TR | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR NINA SVINO | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR PRINCY REKHI | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR TIMOTHY HESS | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR AUDREY TATT | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR AMY WINSTON | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR JUDSON WERNER | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| DR MICHELLE NEAL | |||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER FREIMUND | |||||||
| EXECUTIVE DI | Yes (X) | $0 | $0 | $0 | 5.00 | 35.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $104,100 | FundraisingAmt |
| All Other Contributions | $13,422 | AllOtherContributionsAmt |
| Total Contributions | $117,522 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,806 | TotalRevenueColumnAmt |
| Exclusion | $9,806 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,550 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,220 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,330 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,330 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,330 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $125,163 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $104,100 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $92,561 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,602 | TotalRevenueColumnAmt |
| Exclusion | $32,602 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,330 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $42,408 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,660 | TotalAmt |
| Management And General | $4,660 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,713 | TotalAmt |
| Management And General | $3,713 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045 | TotalAmt |
| Management And General | $1,045 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,637 | TotalAmt |
| Management And General | $800 | ManagementAndGeneralAmt |
| Fundraising | $837 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,345 | TotalAmt |
| Management And General | $1,345 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TAXES, LICENSES & FEES | Desc |
| Total | $50 | TotalAmt |
| Management And General | $50 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,450 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
| Management And General | $11,613 | ManagementAndGeneralAmt |
| Fundraising | $837 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,839 | BOYAmt |
| EOY | $166,181 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,241 | BOYAmt |
| EOY | $32,299 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,950 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,564 | BOYAmt |
| EOY | $400,575 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,594 | BOYAmt |
| EOY | $599,055 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,594 | BOYAmt |
| EOY | $599,055 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,594 | BOYAmt |
| EOY | $599,055 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,594 | BOYAmt |
| EOY | $599,055 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $129,810 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,651 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $22,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,392 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,356 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,522 | CurrentTaxYearAmt |
| Total | $242,682 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,392 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,356 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,522 | CurrentTaxYearAmt |
| Total | $242,682 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $242,682 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,041 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70,489 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,987 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,136 | CurrentTaxYearAmt |
| Total | $183,423 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $15,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $107,675 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $125,163 | CurrentTaxYearAmt |
| Total | $248,088 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $674,193 | TotalSupportAmt |
| Public Support CY170 | 0.36000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.34200 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 248,088 | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL AUCTION | Event1Nm |
| Gross Receipts Event1 | $229,263 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $104,100 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $125,163 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $37,909 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,250 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $52,402 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $229,263 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $104,100 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $125,163 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $37,909 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,250 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $52,402 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $92,561 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $32,602 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERNATIONAL COMMUNITY HEALTH SERV | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 720 8TH AVE S 2ND FLOOR | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 910947084 | RecipientEIN |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | EQUIPMENT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | A CHECKLIST IS REQUIRED FOR EACH GRANTEE'S FILE. STAFF FOLLOW DOWN THE CHECKLIST TO ASSURE ALL DOCUMENTS (APPLICATION, COPY OF CHECK, ANNUAL REPORT, PURPOSE OF GRANT) ARE IN PLACE AND DO A CHECK OFF OF EACH TASK PERFORMED. RECIPIENTS RECEIVE AN AWARD LETTER THAT OUTLINES THE EXPECTATIONS OF THE FOUNDATION REGARDING THE USE OF GRANT FUNDS WHICH REQUIRES BOTH PARTIES TO SIGN INDICATING UNDERSTANDING. STAFF THEN FOLLOW UP WITH RECIPIENTS ON USE OF FUNDS AND DOCUMENTS SAME IN THE RESPECTIVE FILE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | A DRAFT TAX RETURN COPY IS SENT TO THE FOUNDATION BOARD FOR THEIR REVIEW. STAFF ALSO REVIEWS FOR ACCURACY AND COMPARISON TO BOOKS. IF QUESTIONS ARISE, STAFF CONSULTS WITH TAX PREPARER. ONCE REVIEW PROCESS IS COMPLETE, THE TAX RETURN IS SIGNED BY THE EXECUTIVE DIRECTOR AND EFILED BY THE TAX PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER IS REQUIRED TO SIGN A REPRESENTATION CONCERNING CONFLICTS OF INTEREST FORM. PRIOR TO EACH BOARD MEETING, A CONFLICT OF INTEREST QUESTION IS RAISED. FOR A POTENTIAL CONFLICT OF INTEREST THE BOARD MEMBER WILL NOT PARTICIPATE IN THE DETERMINATION OF THE MATTER. IF A VIOLATION OCCURS, EXPLANATION IS REQUESTED AND IF NEEDED APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IS TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE TOP MANAGEMENT OFFICIAL (THE EXECUTIVE DIRECTOR) IS COMPENSATED BY THE SEATTLE-KING COUNTY DENTAL SOCIETY. THE SOCIETY'S EXECUTIVE COUNCIL, THE GOVERNING BODY, IS RESPONSIBLE FOR DETERMINING THE COMPENSATION PACKAGE. THE FOUNDATION BOARD DOES NOT HAVE A ROLE IN DETERMINING THE EXECUTIVE DIRECTOR'S COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEATTLE-KING COUNTY DENTAL SOCIETY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 HARVARD AVENUE | AddressLine1Txt |
| City | SEATTLE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910520407 | EIN |
| Primary Activities | PROFESSION | PrimaryActivitiesTxt |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Exempt Code Section | 501C | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|
| SEATTLE-KING COUNTY DENTAL SOCIETY | |
| M | ALLOCATION |
| SEATTLE-KING COUNTY DENTAL SOCIETY | |
| N | ALLOCATION |
| SEATTLE-KING COUNTY DENTAL SOCIETY | |
| O | ALLOCATION |