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FIJI DENTAL AND MEDICAL FOUNDATION INC: Form 990EZ, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
FIJI DENTAL AND MEDICAL FOUNDATION INC (EIN 46-0864415)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201633199349202683
Schema version
2015v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T11:25:14-08:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Klarin & Associates CPAs IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13300 Irvine Ave Suite 105AddressLine1Txt
CityNewport BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92660ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460864415EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIJI DENTAL AND MEDICAL FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIJIBusinessNameControlTxt
Phone9498331171PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 535AddressLine1Txt
CitySAN CLEMENTECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92674ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGREG HERDPersonNm
Person TitlePresidentPersonTitleTxt
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL P KLARINPreparerPersonNm
PTINP00011751PTIN
Phone9498331171PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website AddressFIJIDENTALANDMEDICAL.COMWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$90,053GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$90,053ContributionsGiftsGrantsEtcAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$90,053TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$1,024FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$652PrintingPublicationsPostageAmt
Other Expenses Total$92,655OtherExpensesTotalAmt
Total Expenses$94,331TotalExpensesAmt
Excess Or Deficit For Year-$4,278ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$42,907NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,629NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$23,753BOYAmt
EOY$15,926EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$19,154BOYAmt
EOY$22,703EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,907BOYAmt
EOY$38,629EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$42,907BOYAmt
EOY$38,629EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeFiji Dental and Medical Foundation, Inc.'s mission is to promote dental and medical health in the Mamanuca island chain of Fiji through prevention education, and restoration. The organization's primary program provides dental and medical clinics.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomProcured a long term solution for our free dental clinic facility and obtained dental equipment and instruments for our clinic. In one week we treated nearly 1,000 dental patients and provided over 10,000 dental procedures to those patients. In addition, another 60 patients were provided with glasses.DescriptionProgramSrvcAccomTxt
Grants And Allocations$93,307GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$93,307TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
GREG HERD
CEO16.00$0
MARK BROWN
Secretary16.00$0
GREG MOEGLING
Treasurer16.00$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGREGORY J HERDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 535AddressLine1Txt
CitySAN CLEMENTECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92674ZIPCd
FieldValueIRS element (for citing)
Phone9498331171PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,044CurrentTaxYearMinus1YearAmt
Current Tax Year$90,053CurrentTaxYearAmt
Total$230,498TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,481CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60,044CurrentTaxYearMinus1YearAmt
Current Tax Year$90,053CurrentTaxYearAmt
Total$230,498TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$230,498PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$230,498TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $5334
Other Expenses.1005Travel $63715
Other Expenses.1008Interest $42
Other Expenses.1012Insurance $4561
Other Expenses.1SUPPLIES $13570
Other Expenses.2MED-DENT SUPPLIES $2340
Other Expenses.3NGO SPONSORSHIP $1781
Other Expenses.4WEBSITE $719
Other Expenses.6FOOD AND DINING $593
Other Assets.1OTHER ASSETS - Beginning $19154 OTHER ASSETS - Ending $22703

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