BETA

DENTISTRY FROM THE HEART INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DENTISTRY FROM THE HEART INC (EIN 20-5178003)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201623209349313137
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)
Return2016-11-15T15:52:38-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273605969PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line113577 FEATHER SOUND DR STE 400AddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33762ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205178003EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENTISTRY FROM THE HEART INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDENTBusinessNameControlTxt
Phone7278492002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE ROADAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVINCENT J MONTICCIOLOPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone7278492002PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBETTY ISLER CPAPreparerPersonNm
PTINP00541979PTIN
Phone7275721400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerVINCENT J MONTICCIOLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE ROADAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$233,436GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DENTISTRYFROMTHEHEART.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE DENTISTRY TO A GROWING NUMBER OF AMERICANS WITHOUT DENTAL INSURANCEActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,912PYContributionsGrantsAmt
CY Contributions Grants$67,051CYContributionsGrantsAmt
PY Program Service Revenue$277,313PYProgramServiceRevenueAmt
CY Program Service Revenue$166,385CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$296,225PYTotalRevenueAmt
CY Total Revenue$233,436CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$76,318PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,422CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$168,607PYOtherExpensesAmt
CY Other Expenses$195,945CYOtherExpensesAmt
PY Total Expenses$244,925PYTotalExpensesAmt
CY Total Expenses$265,367CYTotalExpensesAmt
PY Revenues Less Expenses$51,300PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$31,931CYRevenuesLessExpensesAmt
Total Assets BOY$98,232TotalAssetsBOYAmt
Total Assets EOY$92,219TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,918TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$98,232NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$66,301NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDENTISTRY FROM THE HEART (DFTH) IS A NATIONAL NON-PROFIT ORGANIZATION DEDICATED TO PROVIDING FREE DENTAL CARE TO THOSE IN NEED. INDIVIDUAL DENTISTS AND PRACTICES ACROSS THE COUNTRY DONATE THEIR TIME AND RESOURCES TO HOST THEIR OWN DFTH EVENTS. DFTH SERVES TO RECRUIT, UNIFY, AND PROMOTE THESE EVENTS ON A NATIONAL LEVEL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$214,590ExpenseAmt
Revenue$166,385RevenueAmt
DescTHE ORGANIZATION RECRUITS DENTAL PRACTICES ACROSS THE NATION TO HOST CHARITY EVENTS TO PROVIDE FREE DENTISTRY FOR INDIVIDUALS WHO CANNOT AFFORD DENTAL CARE. DENTAL SERVICES OFFERED INCLUDE EXTRACTIONS, FILLINGS, AND CLEANINGS. DURING 2015, THE ORGANIZATION ENLISTED 295 DENTAL PRACTICES TO HOST EVENTS. WITH THEIR HELP, THE ORGANIZATION SERVED APPROXIMATELY 14,840 INDIVIDUALS AND PROVIDED MORE THAN $4,600,000 IN FREE DENTAL CARE.Desc
Total Program Service Expenses$214,590TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing Body0MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELLE SOTILBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7278492002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15139 LITTLE RDAddressLine1Txt
CityNEW PORT RICHEYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34655ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VINCENT J MONTICCIOLO
PRESIDENT/TREASURER0.5040.00Yes (X)Yes (X)$0$0$0
NATALIE L MONTICCIOLO
SECRETARY0.5040.00Yes (X)$0$0$0
MICHELLE SOTIL
DIRECTOR OF OPERATIONS40.000.00Yes (X)$58,555$0$6,275
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,555TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,275TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$67,051AllOtherContributionsAmt
Total Contributions$67,051TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDENTAL EVENT FEESDesc
Business561000BusinessCd
Total Revenue Column$166,385TotalRevenueColumnAmt
Related Or Exempt Func Income$166,385RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$166,385TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$233,436TotalRevenueColumnAmt
Related Or Exempt Func Income$166,385RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$64,830TotalAmt
Program Services$51,864ProgramServicesAmt
Management And General$12,966ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,592TotalAmt
Program Services$3,674ProgramServicesAmt
Management And General$918ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,173TotalAmt
Management And General$1,173ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Management And General$3,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,404TotalAmt
Management And General$1,404ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$135,049TotalAmt
Program Services$135,049ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,127TotalAmt
Management And General$3,127ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,776TotalAmt
Management And General$24,776ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Management And General$200ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,713TotalAmt
Management And General$2,713ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
EVENT EXPENSES$16,933$16,933
DENTAL SUPPLIES$7,070$7,070

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,367TotalAmt
Program Services$214,590ProgramServicesAmt
Management And General$50,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,898BOYAmt
EOY$88,598EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,565LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,944LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,334BOYAmt
EOY$3,621EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$98,232BOYAmt
EOY$92,219EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$25,918EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$25,918EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$98,232BOYAmt
EOY$66,301EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,232BOYAmt
EOY$66,301EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$98,232BOYAmt
EOY$92,219EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$31,931ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$494,993CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$567,127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$808,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,912CurrentTaxYearMinus1YearAmt
Current Tax Year$67,051CurrentTaxYearAmt
Total$1,956,483TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$494,993CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$567,127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$808,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,912CurrentTaxYearMinus1YearAmt
Current Tax Year$67,051CurrentTaxYearAmt
Total$1,956,483TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$5,665SubstantialContributorsTotAmt
Public Support Total170$1,950,818PublicSupportTotal170Amt
Total Support$1,956,483TotalSupportAmt
Gross Receipts Rltd Activities$997,717GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99710PublicSupportCY170Pct
Public Support PY1700.98330PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,751OtherCostOrOtherBasisAmt
Depreciation$8,311DepreciationAmt
Book Value$3,440BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,814OtherCostOrOtherBasisAmt
Depreciation$1,633DepreciationAmt
Book Value$181BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,621TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTICCIOLO FAMILY SEDATION PABusinessNameLine1Txt
FieldValueIRS element (for citing)
Loan PurposeTO COVER OPERATING EXPENSESLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$25,918OriginalPrincipalAmt
Balance Due$25,918BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$25,918TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II LINE 1FormAndLineReferenceDesc
ExplanationVINCENT MONTICCIOLO, PRESIDENT, IS A 100% SHAREHOLDER IN MONTICCIOLO FAMILY SEDATION, P.A.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2VINCENT MONTICCIOLO, PRESIDENT/TREASURER, AND NATALIE MONTICCIOLO, SECRETARY, ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION A, LINE 8ANO FORMAL MEETINGS WERE HELD DURING THE YEAR.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION IS RUN BY THE BOARD OF DIRECTORS AND DOES NOT HAVE SEPARATE COMMITTEES AUTHORIZED TO ACT ON THEIR BEHALF.
FORM 990, PART VI, SECTION B, LINE 11FROM 990, AS ULTIMATELY FILED WITH THE IRS, IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ANY ACTUAL AND/OR POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED UPON DISCOVERY. POTENTIAL CONFLICTS ARE MONITORED AND EVALUATED ON AN ONGOING BASIS.
FORM 990, PART VI, SECTION B, LINE 15BTHE ORGANIZATION IS MANAGED BY A BOARD OF DIRECTORS COMPRISED OF VOLUNTEERS. AS SUCH, THE COMPENSATION PROCEDURES DESCRIBED IN QUESTION 15A DO NOT APPLY. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND OTHER EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
PRESTIGE DERMATOLOGY INC
4546 GRAND BLVDNEW PORT RICHEYFL34652593758247DERMATOLOGYFLN/AS0
DENTAL CARE DELIVERED PA
1214 PLAYMOOR DRPALM HARBORFL34683455235928DENTISTRYFLN/AS0
MONTICCIOLO FAMILY AND SEDATION DENTISTRY PA
1214 PLAYMOOR DRPALM HARBORFL34683364715980DENTISTRYFLN/AS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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