NORTHERN NEVADA DENTAL HEALTH PROGRAM: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN NEVADA DENTAL HEALTH PROGRAM (EIN 88-0411192)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-17
- IRS object ID
- 201413239349200416
- Schema version
- 2013v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T14:49:50-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6560 S MCCARRAN BLVD SUITE B | AddressLine1 |
| City | RENO | City |
| State | NV | State |
| ZIP Code | 89509 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 PROGRAM | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | RENO | City |
| State | NV | State |
| ZIP Code | 89511 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREG PISANI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7753370296 | PhoneNum |
| Signature | 2014-11-14 | 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 | 2014-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | $170,530 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $110,590 | ContributionsGiftsGrantsEtcAmt |
| Fundraising Gross Income | $59,919 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $47,614 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $12,305 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $21 | OtherRevenueTotalAmt |
| Total Revenue | $122,916 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $109,000 | GrantsAndSimilarAmountsPaidAmt |
| Fees And Other Pymt To Ind Cntrct | $12,284 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $2,799 | OtherExpensesTotalAmt |
| Total Expenses | $124,083 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$1,167 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $45,112 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $43,945 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,112 | BOYAmt |
| EOY | $43,945 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,112 | BOYAmt |
| EOY | $43,945 | 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 | $45,112 | BOYAmt |
| EOY | $43,945 | 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 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 | $109,000 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $109,000 | 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 | AddressLine1 |
| City | RENO | City |
| State | NV | State |
| ZIP Code | 89511 | ZIPCode |
| 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 | $45,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $112,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,685 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $103,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $110,590 | CurrentTaxYearAmt |
| Total | $452,325 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,593 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,526 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,670 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,919 | CurrentTaxYearAmt |
| Total | $185,116 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,353 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $151,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $140,010 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170,509 | CurrentTaxYearAmt |
| Total | $637,441 | 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 | $637,441 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $214 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21 | CurrentTaxYearAmt |
| Total | $214 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $151,424 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $116,271 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $140,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $170,530 | CurrentTaxYearAmt |
| Total | $637,655 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | 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) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1Amt |
| Gross Receipts Event1 | $49,358 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $31,340 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,018 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $4,462 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,820 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,009 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,490 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | CONCERT | NameOfEvent2Amt |
| Gross Receipts Event2 | $121,151 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $79,250 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $41,901 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $1,755 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $30,078 | EntertainmentEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $170,509 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $110,590 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $59,919 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,462 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,820 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,764 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $30,078 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,490 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,614 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $12,305 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: INTEREST INCOME. AMOUNT: 21. |
| 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: 11/19/13. AMOUNT GIVEN: 29000. |
| 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: 06/19/14. AMOUNT GIVEN: 80000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 109000. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: OFFICE. AMOUNT: 972. DESCRIPTION: MERCHANT ACCOUNT FEES. AMOUNT: 1827. TOTAL TO FORM 990-EZ, LINE 16: 2799. |
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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