PATTERSON DENTAL FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PATTERSON DENTAL FOUNDATION (EIN 74-3076772)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-01
IRS object ID
201322139349100102
Schema version
2012v2.1
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)
Timestamp2013-08-01T08:09:24-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN411654490EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYAN J TERRY LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1550 MAIN STREET SUITE 550AddressLine1
CityST PAULCity
StateMNState
ZIP Code55112ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN743076772EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PATTERSON FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPATTNameControl
Phone6516861725Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameR STEPHEN ARMSTRONGName
TitleSECRETARY/TREASURERTitle
Phone6516861725Phone
Date Signed2013-07-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGEORGIA AKINSName
PTINP00950359PTIN
Phone6516363806Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY16890021FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss84261ContriReceivedRevAndExpnss
Dividends Rev And Expnss514504DividendsRevAndExpnss
Dividends Net Invst Incm514504DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss381165NetGainSaleAssetsRevAndExpnss
Gross Sales Price6592680GrossSalesPrice
Capital Gain Net Incm Net Invst Incm381165CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses979930TotalRevenueAndExpenses
Total Net Investment Income895669TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss14027AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm4909AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps9118AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss158980OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm120660OtherProfFeesNetInvstIncm
Other Prof Fees Adj Net Incm0OtherProfFeesAdjNetIncm
Other Prof Fees Dsbrs Chrtbl Prps36358OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss7701TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Adj Net Incm0TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss4412OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps4162OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss185120TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm125569TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps49638TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss796755ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps796755ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss981875TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm125569TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps846393TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-1945ExcessOfRevenueOverExpenses
Net Investment Income770100NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY35335SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY40832SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV40832SavingsAndTempCashInvstEOYFMV
Pledges Receivable29666PledgesReceivable
Allwnc For Dbtfl Acct Pledges Rcvbl1000AllwncForDbtflAcctPledgesRcvbl
Pledges Receivable BOY15826PledgesReceivableBOY
Pledges Receivable EOY28666PledgesReceivableEOY
Pledges Receivable EOYFMV28666PledgesReceivableEOYFMV
Prepaid Expenses EOY6800PrepaidExpensesEOY
Prepaid Expenses EOYFMV6800PrepaidExpensesEOYFMV
Investments Other BOY15731659InvestmentsOtherBOY
Investments Other EOY16772412InvestmentsOtherEOY
Investments Other EOYFMV16772412InvestmentsOtherEOYFMV
Other Assets BOY34789OtherAssetsBOY
Other Assets EOY41311OtherAssetsEOY
Other Assets EOYFMV41311OtherAssetsEOYFMV
Total Assets BOY15817609TotalAssetsBOY
Total Assets EOY16890021TotalAssetsEOY
Total Assets EOYFMV16890021TotalAssetsEOYFMV
Accounts Payable BOY30751AccountsPayableBOY
Accounts Payable EOY34999AccountsPayableEOY
Other Liabilities BOY12531OtherLiabilitiesBOY
Other Liabilities EOY0OtherLiabilitiesEOY
Total Liabilities BOY43282TotalLiabilitiesBOY
Total Liabilities EOY34999TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY15774327UnrestrictedBOY
Unrestricted EOY16855022UnrestrictedEOY
Total Net Assets BOY15774327TotalNetAssetsBOY
Total Net Assets EOY16855022TotalNetAssetsEOY
Total Liabilities Net Assets BOY15817609TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY16890021TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY15774327TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-1945ExcessOfRevenueOverExpenses
Other Increases1082640OtherIncreases
Subtotal16855022Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY16855022TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo

FieldValueIRS element (for citing)
Description Of AssetWELLS FARGO INVESTMENTSDescriptionOfAsset
How AcquiredPHowAcquired
Gross Sales Price6592680GrossSalesPrice
Cost Or Other Basis6211515CostOrOtherBasis
Gain Or Loss381165GainOrLoss
Gains Minus Excess Or Losses381165GainsMinusExcessOrLosses
FieldValueIRS element (for citing)
Capital Gain Net Income381165CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1649065QualifyingDistributionsYear1
Noncharitable Assets Year116088909NoncharitableAssetsYear1
Distribution Ratio Year10.040342DistributionRatioYear1
Qualifying Distributions Year2651928QualifyingDistributionsYear2
Noncharitable Assets Year214310066NoncharitableAssetsYear2
Distribution Ratio Year20.045557DistributionRatioYear2
Qualifying Distributions Year3571296QualifyingDistributionsYear3
Noncharitable Assets Year312571637NoncharitableAssetsYear3
Distribution Ratio Year30.045443DistributionRatioYear3
Qualifying Distributions Year4744765QualifyingDistributionsYear4
Noncharitable Assets Year415514126NoncharitableAssetsYear4
Distribution Ratio Year40.048006DistributionRatioYear4
Qualifying Distributions Year5724857QualifyingDistributionsYear5
Noncharitable Assets Year516961798NoncharitableAssetsYear5
Distribution Ratio Year50.042735DistributionRatioYear5
Total Distribution Ratio0.222083TotalDistributionRatio
Average Distribution Ratio0.044417AverageDistributionRatio
Net Noncharitable Assets16660879NetNoncharitableAssets
Adjusted Noncharitable Assets740026AdjustedNoncharitableAssets
One Percent Net Investment Income7701OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One747727AdjNonchrtblAssetsAndOnePct
Qualifying Distributions846393QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax7701InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal7701Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income7701TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment13219EstTaxPaymentsAndOverpayment
Total Credits And Payments13219TotalCreditsAndPayments
Form2220 AttachedXForm2220Attached
Overpayment5518Overpayment
Amount Credited To Next Year5518AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithMNStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.PATTERSONFOUNDATION.NETWebsiteAddress
Books In Care Of Person NameR STEPHEN ARMSTRONGBooksInCareOfPersonName
Books In Care Of Phone Number6516861600BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
R STEPHEN ARMSTRONG
1031 MENDOTA HEIGHTS ROADST PAULMN55120TREASURER0.10000
RONALD E EZERSKI
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
GEORGE L HENRIQUES
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
JEFFREY B BAKER
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
MATTHEW L LEVITT
1031 MENDOTA HEIGHTS ROADST PAULMN55120SECRETARY0.10000
ROBERT C CLIFFORD
1031 MENDOTA HEIGHTS ROADST PAULMN55120VICE PRESIDENT0.10000
SCOTT P ANDERSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
JAMES W WILTZ
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
DAVID P SPROAT
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
GARY D JOHNSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120PRESIDENT0.10000
PAMELA A HEMMEN
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
RAYMOND DEAN GODSIL III
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
DAVID G MISIAK
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities16791775AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances46046AvgMonthlyCashBalances
FMV All Other Noncharitable Assets76777FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets16914598TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets16914598AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable253719CashDeemedCharitable
Net Noncharitable Assets16660879NetNoncharitableAssets
Minimum Investment Return833044MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return833044MinimumInvestmentReturn
Tax Based On Investment Income7701TaxBasedOnInvestmentIncome
Total Tax7701TotalTax
Distributable Amount Before Adj825343DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded825343DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted825343DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions846393ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions846393QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm7701OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions838692AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted825343DistributableAmountAsAdjusted
Undistributed Income Prior Year572049UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions846393QualifyingDistributions
Applied To Year1572049AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year274344AppliedToCurrentYear
Remaining Distri From Corpus0RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus0TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY550999UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year0ExcessDistriCyovToNextYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameKIM POIRIER ADMINISTRATORRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number6516861929RecipientPhoneNumber
Form And Info And MaterialsAPPLICATIONS SHOULD INCLUDE ALL ITEMS REQUESTED IN THE GRANT APPLICATION. GRANT APPLICATIONS CAN BE OBTAINED BY WRITING, EMAILING (INFORMATION@PATTERSONFOUNDATION.NET) OR CALLING (651) 686-1929. THE GRANT APPLICATION INCLUDES A BRIEF DESCRIPTION OF YOUR PROJECT AND STATEMENT OF NEED, SUMMARY OF THE ORGANIZATION, ITS MISSION AND GOALS, ORGANIZATION BUDGET, AND A PROJECT BUDGET.FormAndInfoAndMaterials
Submission DeadlinesMOST APPLICATIONS THAT RECEIVE FUNDING REQUIRE 60 TO 140 DAYS FOR CONSIDERATION AND APPROVAL.SubmissionDeadlines
Restrictions On AwardsTHE FOUNDATION FOCUSES ON PROVIDING GRANTS IN EDUCATION, HEALTH AND HUMAN SERVICES, AND EDUCATIONAL SCHOLARSHIPS. EDUCATION GRANTS ARE SUPPORT FOR EDUCATION IN THE FOUNDATION'S FOCUS AREAS OF ORAL HEALTH, ANIMAL HEALTH, AND OCCUPATIONAL AND PHYSICAL REHABILITATION. HEALTH AND HUMAN SERVICES GRANTS ASSIST PROGRAMS THAT BENEFIT ECONOMICALLY DISADVANTAGED PEOPLE OR YOUTH WITH SPECIAL NEEDS. EDUCATIONAL SCHOLARSHIPS ARE SUPPORT FOR DEPENDENTS OF PATTERSON COMPANIES, INC EMPLOYEES.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (28 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmountAddress Line2RecipientUSAddress/AddressLine2
AMERICA'S DENTISTS CARE FOUNDATION
9110 E 35TH STREET NORTHWICHITAKS67226NONEPUBLIC CHARITYNON-DENTAL EQUIPMENT FOR THE FOURTH AND NEWEST SEMI-TRAILER THAT WILL BE USED AT MISSION OF MERCY EVENTS$50,000
CALIFORNIA DENTAL ASSOCIATION FOUNDATION
1201 K STREET SUITE 1511SACRAMENTOCA95814NONEPUBLIC CHARITYMISSION OF MERCY EVENT ON AUGUST 24 AND 25, 2012 IN SACRAMENTO$7,500
AMERICAN ACADEMY OF COSMETIC DENTISTRY CHARITABLE FOUNDATION
402 WEST WILSON STREETMADISONWI53703NONEPUBLIC CHARITYGIVE BACK A SMILE PROGRAM$5,000
CARE CLINIC
1407 WEST 4TH STREETRED WINGMN55066NONEPUBLIC CHARITYWORK WITH VOLUNTEER DENTAL PROFESSIONALS$7,500
ILLINOIS STATE DENTAL SOCIETY FOUNDATION
PO BOX 217SPRINGFIELDIL62705NONEPUBLIC CHARITYMISSION OF MERCY IN GRAYSLAKE ON JUNE 8 AND 9, 2012$7,500
CHILDREN'S DENTAL CENTER OF GREATER LOS ANGELES
300 EAST BUCKTHORN STREETINGLEWOODCA90301NONEPUBLIC CHARITYSUPPORT STUDENTS AND DENTAL PROFESSIONS WHO VOLUNTEER$20,000
MEDICAL TEAMS INTERNATION - MNMOM
1960 CLIFF LAKE ROAD SUITE 129-148EAGANMN55122NONEPUBLIC CHARITYRECRUITMENT OF ADDITIONAL VOLUNTEER DENTISTS TO CARE FOR PATIENTS THROUGH THE MINNESOTA MOBILE DENTAL PROGRAM$15,000
DENTAL LIFELINE NETWORK
1800 15TH STREET SUITE 100DENVERCO80202NONEPUBLIC CHARITYEXPANSION OF THE DONATED DENTAL SERVICES PROGRAM AND NEW CASE MANAGEMENT SOFTWARE$75,000
MINNESOTA DENTAL FOUNDATION
1335 INDUSTRIAL BLVDMINNEAPOLISMN55413NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN MANKATO ON AUGUST 17 AND 18, 2012$10,000
INTERFAITH DENTAL CLINIC
1721 PATTERSON STREETNASHVILLETN37203NONEPUBLIC CHARITYSUPPORT COSTS OF A DENTAL ASSISTANT TO WORK WITH THE VOLUNTEER DENTISTS$14,000
IOWA DENTAL FOUNDATION
5530 WEST PARKWAY SUITE 100JOHNSTONIA50131NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN DAVENPORT ON OCTOBER 5 AND 6, 2012$10,000
MISSISSIPPI DENTAL ASSOCIATION FOUNDATION
439B KATHERINE DRIVEFLOWOODMS39232NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN PEARL ON APRIL 26 AND 27, 2013$7,500
MISSOURI DENTAL FOUNDATION
3340 AMERICAN AVENUEJEFFERSONMO65109NONEPUBLIC CHARITYMISSION OF MERCY EVENT IN CAPE GIRARDEAU ON MAY 3 AND 4, 2013$7,500
LOS ANGELES EDUCATION PARTNERSHIP
1055 WEST SEVENTH STREET SUITE 200LOS ANGELESCA90017NONEPUBLIC CHARITYORAL HEALTH INITIATIVE FOR LOW-INCOME CHILDREN AND THEIR PARENTS$10,000
NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION
4108 PARK ROAD SUITE 300CHARLOTTENC28209NONEPUBLIC CHARITYEXPANSION OF THE TOMORROW'S SMILES AND STUDENTS UNITED FOR AMERICA'S TOOTHFAIRY PROGRAMS$50,370
NEBRASKA MISSION OF MERCY
1335 SHERIDAN AVENUEALLIANCENE69301NONEPUBLIC CHARITYSUPPORT DENTAL VOLUNTEERS AT THE JULY 13 AND 14, 2012 MISSION OF MERCY EVENT IN ALLIANCE$5,000
NATIONAL STROKE ASSOCIATION
9707 EAST EASTER LANE SUITE BCENTENNIALCO80112NONEPUBLIC CHARITYLIFELINE LONG ADVOCACY PROGRAM$25,000
ORAL HEALTH AMERICA
180 NORTH MICHIGAN AVENUE SUITECHICAGOIL60601NONEPUBLIC CHARITYSTART-UP OF THE SMILES ACROSS AMERICA SCHOOL-BASED ORAL HEALTH PROGRAM IN TAMPA AREA AND EXPANSION OF SMILES ACROSS AMERICA ORAL HEALTH PROGRAM$90,0001150
SCHOLARSHIP AMERICA
ONE SCHOLARSHIP WAY PO BOX 297ST PETERMN56082NONEEXEMPT ORGANIZATIONSCHOLARSHIPS$210,000
ROANOKE VALLEY SPCA
1340 BALDWIN AVENUEROANOKEVA24012NONEPUBLIC CHARITYFURNITURE FOR THE NEW LOW-COST SPAY AND NEUTER CLINIC$6,000
TEXAS A&M COLLEGE OF VETERINARY MEDICINE
4461 TAMUCOLLEGE STATIONTX77845NONEPUBLIC CHARITYFUNDING FOR PATTERSON MINORITY FELLOW IN VETERINARY MEDICINE$12,000
TRINITY FREE CLINIC
1045 WEST 146TH STREET SUITE BCARMELIN46032NONEPUBLIC CHARITYPART-TIME DENTAL ASSISTANT TO WORK WITH VOLUNTEER DENTISTS$5,000
UC DAVIS - SCHOOL OF VETERINARY MEDICINE
ONE SHIELDS AVENUE - CCAH BLDG ROOMDAVISCA95616NONEPUBLIC CHARITYDEVELOPMENT OF THE SOFTWARE PLATFORM FOR THE KORET SHELTER MEDICNE PROGRAM'S NEW ON-LINE ASSESSMENT TOOL$25,000214
AROOSTOOK DENTAL CLINIC (ST APOLLONIA)
122 ACADEMY STREETPRESQUE ISLEME04769NONEPUBLIC CHARITYWINDOW SHADES, AIR CONDITIONER, REFRIGERATOR, AND OTHER NON-OFFICE SUPPLIES AND EQUIPMENT$10,000
BLUE RIDGE MOUNTAINS HEALTH PROJECT
PO BOX 451CASHIERSNC28717NONEPUBLIC CHARITYREMODELING COSTS OF THE ORIGINAL UNIT OF DENTAL CLINIC FOR LOW-INCOME FAMILIES$20,000
CHRISTINA'S SMILE
12702 SHERBOURNE SUITE BAUSTINTX78729NONEPUBLIC CHARITYSTAFFING COSTS OF THE 2013 CLINICS FOR PROVIDING DENTAL CARE TO LOW-INCOME CHILDREN IN 10 COMMUNITIES$75,000
COMMUNITY DENTAL CARE
1670 BEAM AVENUEMAPLEWOODMN55109NONEPUBLIC CHARITYCLINIC FURNISHINGS AND PER DIEM COSTS FOR TRAINING TWO STAFF MEMBERS OF NEW ROCHESTER CLINIC$11,885
GREENVILLE FREE MEDICAL CLINIC
PO BOX 8993GREENVILLESC29604NONEPUBLIC CHARITYTHURSDAY EVENING ACCOMMODATIONS FOR DENTAL STUDENTS FROM THE MEDICAL UNIVERSITY OF SOUTH CAROLINA SO THAT THEY CAN PROVIDE PEDIATRIC DENTAL CARE AT FRIDAY MORNING CLINICS$5,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year796755TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$514,504ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$381,165ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$895,669ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA895669TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo (2 entries)

Contributor NumberContributorNumberContributor Name IndividualContributorNameIndividualAddress Line1ContributorAddressUS/AddressLine1CityContributorAddressUS/CityStateContributorAddressUS/StateZIP CodeContributorAddressUS/ZIPCodeAggregate ContributionsAggregateContributionsPerson Contribution TypePersonContributionType
1SIT INVESTMENTS3300 IDS CEENTER 80 SOUTH 8TH STREEMINNEAPOLISMN5540214111X
2LACY FOUNDATION54 MONUMENT CIRCLEINDIANAPOLISIN4620410000X

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING AND AUDITINGCategory
Amount$14,027Amount
Net Investment Income4909NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps9118DisbursementsCharitablePrps

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (4 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
MONEY MARKET FUNDSFMV8828988289
EQUITIESFMV1047438110474381
BONDS AND NOTESFMV31622873162287
POOLED, COMMON AND COLLECTIVE FUNDSFMV30474553047455

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBOY Book ValueBOYBookValueEOY Book ValueEOYBookValueEOYFMVEOYFMV
ACCRUED INTEREST AND DIVIDENDS347893579335793
EXCISE TAX REFUND55185518

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MISCELLANEOUS97000720
FUNDRAISING3442003442

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionNET UNREALIZED GAINSDescription
Amount$1,082,640Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEXCISE TAX PAYABLEDescription
BOY Book Value12531BOYBookValue
EOY Book Value0EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (3 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
INVESTMENT MANAGEMENT FEES$120,66012066000
SCHOLARSHIP FEES$9,700009700
GRANTS CONSULTING$28,6200026658

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryEXCISE TAXESCategory
Amount$7,701Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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