FURP.ORG / PUBLIC DATA EXPLORER

SEATTLE KING COUNTY DENTAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SEATTLE KING COUNTY DENTAL FOUNDATION (EIN 94-3170367)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-08
IRS object ID
201303129349300545
Schema version
2012v2.0
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)
Timestamp2013-11-08T13:32:21-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Luby & Thomson PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1419 Occidental Avenue South Suite 6AddressLine1
CitySeattleCity
StateWAState
ZIP Code981042886ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN943170367EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Seattle-King County Dental FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSEATNameControl
Phone2064437607Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12201 6th AvenueAddressLine1
CitySeattleCity
StateWAState
ZIP Code98121ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJennifer FreimundName
TitleExecutive Dir.Title
Date Signed2013-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePamela A ThomsonName
PTINP00172042PTIN
Phone2066284991Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts193484GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.skcds.org/foundationWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionFoundation is dedicated to proactively eliminating dental infection and pain in the King County population that lacks resources and/or access to dental care.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers29TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year22888ContributionsGrantsPriorYear
Contributions Grants Current Year57050ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year20041InvestmentIncomePriorYear
Investment Income Current Year19770InvestmentIncomeCurrentYear
Other Revenue Prior Year45491OtherRevenuePriorYear
Other Revenue Current Year41214OtherRevenueCurrentYear
Total Revenue Prior Year88420TotalRevenuePriorYear
Total Revenue Current Year118034TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year90764GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY96000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1858TotalFundrsngExpCurrentYear
Other Expense Prior Year14413OtherExpensePriorYear
Other Expenses Current Year15982OtherExpensesCurrentYear
Total Expenses Prior Year105177TotalExpensesPriorYear
Total Expenses Current Year111982TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16757RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6052RevenuesLessExpensesCY
Total Assets BOY512884TotalAssetsBOY
Total Assets EOY530404TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY512884NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY530404NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFoundation is dedicated to proactively eliminating dental infection and pain in the King County population that lacks resources and/or access to dental care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense51000Expense
Grants51000Grants
DescriptionProviding the continuing funding for a 3 chair clinic that will be housed in Swedish Medical Center Broadway campus. This clinic will focus on providing complex extractions for individuals referred from the community dental clinics. The clinic will be staffed entirely by volunteers and serving people who live at 200% or below the federal poverty level. The project is partnered with Swedish Hospital Foundation, King County Project Access and the Pacific Hospital Preservation and Development Authority.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30000Expense
Grants30000Grants
DescriptionProviding funding towards a new construction of a HealthPoint Dental Clinic in Midway, WA. There will be a 10 chair dental clinic and the Clinic will serve the approximately 37,000 Midway residents living in poverty - 25% of whom are uninsured.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense15000Expense
Grants15000Grants
DescriptionProviding funding to the Johnny Johnson Dental Clinic that treats adults with disabilities and provides over 1,700 dental procedures each year to this challenging population.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp782TotalOfOtherProgramServiceExp
Total Program Service Expense96782TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJennifer FreimundNamePerson
Telephone Number2064437607TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12201 6th Avenue 1210AddressLine1
CitySeattleCity
StateWAState
ZIP Code981211832ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Dr Patrick Taylor
Director1.000.00X000
Dr Heidi Horwitz
Director1.000.00X000
Dr Cynthia Pauley
Director1.000.00X000
Dr Princy Rekhi
Director1.000.00X000
Dr Karim Alibhai
Director1.000.00X000
Dr Franco Audia
Treasurer1.000.00X000X
Dr Christy Kirchner
President1.000.00X000X
Jennifer Freimund
Executive Dir.10.000.00012000027565X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs120000TotalReportableCompFrmRltdOrgs
Total Other Compensation27565TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events41524FundraisingEvents
All Other Contributions15526AllOtherContributions
Total Contributions57050TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19770TotalRevenueColumn
Exclusion$19,770ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events116664GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events41524CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses75450FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column41214TotalRevenueColumn
Exclusion$41,214ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column118034TotalRevenueColumn
Exclusion$60,984ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total96000Total
Program Services96000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4000Total
Management And General4000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3389Total
Management And General3389ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total535Total
Management And General535ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4741Total
Program Services286ProgramServices
Management And General4423ManagementAndGeneral
Fundraising32Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServicesFundraisingFundraising
Licenses and Fees5050
Awards expense496496
Board Meetings936936
Annual appeal expense18261826

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9Total
Management And General9ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total111982Total
Program Services96782ProgramServices
Management And General13342ManagementAndGeneral
Fundraising1858Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY35521BOY
EOY56348EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30015BOY
EOY5965EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9624BOY
EOY3500EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY437724BOY
EOY464591EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY512884BOY
EOY530404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY512884BOY
EOY530404EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY512884BOY
EOY530404EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY512884BOY
EOY530404EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6052ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11468ReconciliationUnrealizedInvest
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewtrueAccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39889CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22888CurrentTaxYearMinus1Year
Current Tax Year41524CurrentTaxYear
Total194185Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39889CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35450CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22888CurrentTaxYearMinus1Year
Current Tax Year41524CurrentTaxYear
Total194185Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170194185PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8813CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20041CurrentTaxYearMinus1Year
Current Tax Year19770CurrentTaxYear
Total75606Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support269791TotalSupport
Gross Receipts From Admissions Etc765447GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.71980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.71810PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt193484TotRevenueEtcAuditedFinclStmt
Other Revenues75450OtherRevenues
Revenue Not Rptd F99075450RevenueNotRptdF990
Revenue Subtotal118034RevenueSubtotal
Total Revenue Per Form990118034TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt187432TotExpensesEtcAuditedFinclStmt
Other Expenses Included75450OtherExpensesIncluded
Expenses Not Rptd F99075450ExpensesNotRptdF990
Expenses Subtotal111982ExpensesSubtotal
Total Expenses Per Form990111982TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SGross auction exp netted on Form 990 $75450
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Gross auction receipts netted on Form990 $75450

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Annual AuctionNameOfEvent1
Gross Receipts Event1158188GrossReceiptsEvent1
Charitable Contributions Event141524CharitableContributionsEvent1
Gross Revenue Event1116664GrossRevenueEvent1
Food And Beverage Event121471FoodAndBeverageEvent1
Entertainment Event14303EntertainmentEvent1
Other Direct Expenses Event149676OtherDirectExpensesEvent1
Gross Receipts Total158188GrossReceiptsTotal
Charitable Contributions Total41524CharitableContributionsTotal
Gross Revenue Total Events116664GrossRevenueTotalEvents
Food And Beverage Total Events21471FoodAndBeverageTotalEvents
Entertainment Total Events4303EntertainmentTotalEvents
Other Direct Expenses Total Events49676OtherDirectExpensesTotalEvents
Direct Expense Summary Events75450DirectExpenseSummaryEvents
Net Income Summary41214NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Swedish Medical Center Fdn
747 BroadwaySeattleWA98122910983214510000Funding for 3 chair dental clinic
Provail
12550 Aurora Ave NSeattleWA98133910593488150000Provide dental supplies to clinic
HealthPoint
403 E Meeker St Suite 200KentWA98030910884412300000Construction of a new dental clinic
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationA 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, policies and financial statements are available upon request.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach 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, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA 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, Part III, Line 4dForm 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Foundation is dedicated to proactively eliminating dental infection and pain in the King County population that lacks resources and/or access to dental care by advocating and facilitating access for the underserved; by increasing awareness of and resources for new and existing programs; by partnering with others that can help; and by demonstrating responsible use of our resources to our donors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Seattle-King County Dental SocietyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12201 6th Avenue 1210AddressLine1
CitySeattleCity
StateWAState
ZIP Code98121ZIPCode
FieldValueIRS element (for citing)
EIN910520407EIN
Primary ActivitiesProfessional Membership OrganizationPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501(c)(6)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Seattle-King County Dental Society
p20000Allocation
Seattle-King County Dental Society
o57364Allocation
Seattle-King County Dental Society
n27000Allocation
Seattle-King County Dental Society
m5195Allocation