NORTHERN NEVADA DENTAL HEALTH PROGRAM: Form 990EZ, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN NEVADA DENTAL HEALTH PROGRAM (EIN 88-0411192)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-08-15
- IRS object ID
- 201642289349202459
- 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 | 2016-08-15T12:41:49-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454265538 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL G MIERS CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6560 S MCCARRAN BLVD SUITE B | AddressLine1Txt |
| City | RENO | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880411192 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN NEVADA DENTAL HEALTH PROGRAMS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 7753370296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 COUNTRY ESTATES CIRCLE NO 1B | AddressLine1Txt |
| City | RENO | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89511 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG PISANI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7753370296 | PhoneNum |
| Signature | 2016-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL G MIERS | PreparerPersonNm |
| PTIN | P00161496 | PTIN |
| Phone | 7754489923 | PhoneNum |
| Preparation | 2016-07-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $100,096 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $46,961 | ContributionsGiftsGrantsEtcAmt |
| Fundraising Gross Income | $53,131 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $65,539 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$12,408 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $4 | OtherRevenueTotalAmt |
| Total Revenue | $34,557 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $30,000 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $2,386 | OtherExpensesTotalAmt |
| Total Expenses | $32,386 | TotalExpensesAmt |
| Excess Or Deficit For Year | $2,171 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $38,451 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $40,622 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,451 | BOYAmt |
| EOY | $40,622 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,451 | BOYAmt |
| EOY | $40,622 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,451 | BOYAmt |
| EOY | $40,622 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROVIDE FUNDING FOR THE DENTAL HEALTH CARE NEEDS OF VETERANS AND UNDERPRIVELEGED CHILDREN | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | ORGANIZING OF GOLF TOURNAMENT/CONCERT TO PROVIDE FUNDING OF DENTAL HEALTH CARE TO UNDERPRIVELEGED CHILDREN AND VETERANS THROUGH THE COMMUNITY HEALTH ALLIANCE FOUNDATION. AMOUNT REPRESENT FUNDS MADE AVAILABLE FOR THE DENTAL PROGRAM. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $30,000 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $30,000 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (3 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| GREG PISANI | ||||
| PRESIDENT | 2.00 | $0 | $0 | $0 |
| ROBERT BARONE | ||||
| TREASURER | 2.00 | $0 | $0 | $0 |
| GILBERT TRUJILLO | ||||
| SECRETARY | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORRAINE BENVIN | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 COUNTRY ESTATES CIRCLE NO 1B | AddressLine1Txt |
| City | RENO | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7753370296 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $103,340 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $110,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,961 | CurrentTaxYearAmt |
| Total | $420,896 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,526 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,670 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,919 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,131 | CurrentTaxYearAmt |
| Total | $273,010 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116,211 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140,010 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $170,509 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $167,084 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,092 | CurrentTaxYearAmt |
| Total | $693,906 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $693,906 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4 | CurrentTaxYearAmt |
| Total | $124 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4 | CurrentTaxYearAmt |
| Total | $124 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $116,271 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $140,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $170,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $167,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,096 | CurrentTaxYearAmt |
| Total | $694,030 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00020 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $51,558 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $33,111 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,447 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $6,079 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $10,500 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $3,251 | OtherDirectExpensesEvent1Amt |
| Event2 | CONCERT | Event2Nm |
| Gross Receipts Event2 | $48,534 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $13,850 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $34,684 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $11,746 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $33,963 | EntertainmentEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $100,092 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $46,961 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $53,131 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $6,079 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,500 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,746 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $33,963 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,251 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $65,539 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,408 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME. AMOUNT: 4. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: DENTAL HEALTH CARE FOR NEEDY CHILDREN. GRANTEE NAME: COMMUNITY HEALTH ALLIANCE FOUNDATION. GRANTEE ADDRESS: 1450 RIDGEVIEW DRIVE #200 RENO, NV 89519. GRANTEE RELATIONSHIP: NONE. PROPERTY DESCRIPTION: CASH. DATE OF GIFT: 11/24/15. AMOUNT GIVEN: 30000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE. AMOUNT: 851. DESCRIPTION: MERCHANT ACCOUNT FEES. AMOUNT: 1535. TOTAL TO FORM 990-EZ, LINE 16: 2386. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |
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