MDS FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MDS FOUNDATION INC (EIN 04-3466040)
Tax period
2011-05-01 to 2012-04-30
Filed
2013-03-07
IRS object ID
201340669349300429
Schema version
2011v1.5
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)
Timestamp2013-03-07T13:54:20-06:00Timestamp
Tax Period End Date2012-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042571780EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STREETAddressLine1
CityWESTBOROCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043466040EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MDS FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMDSFNameControl
Phone5084809797Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1TWO WILLOW STREET NO 200AddressLine1
CitySOUTHBOROUGHCity
StateMAState
ZIP Code01745ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKATHLEEN BOYCEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5086517511Phone
Date Signed2013-03-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN BUCKLEY CPAName
PTINP00830631PTIN
Phone5083669100Phone
Date Prepared2013-03-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHLEEN M BOYCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1TWO WILLOW STREET NO 200AddressLine1
CitySOUTHBOROUGHCity
StateMAState
ZIP Code01745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts587968GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MDSFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionIMPROVE ORAL HEALTH CARE OF MASSACHUSETTS RESIDENTS AND ENHANCE EDUCATIONAL OPPORTUNITIES FOR THOSE WHO WISH TO PURSUE A CAREER AS A DENTAL HYGENIST, DANTAL ASSISTANT, OR LAB TECHNICIAN.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year443113ContributionsGrantsPriorYear
Contributions Grants Current Year397705ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year74011InvestmentIncomePriorYear
Investment Income Current Year26721InvestmentIncomeCurrentYear
Other Revenue Prior Year20010OtherRevenuePriorYear
Other Revenue Current Year9807OtherRevenueCurrentYear
Total Revenue Prior Year537134TotalRevenuePriorYear
Total Revenue Current Year434233TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year131911GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY93643GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year546SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4729TotalFundrsngExpCurrentYear
Other Expense Prior Year87658OtherExpensePriorYear
Other Expenses Current Year18441OtherExpensesCurrentYear
Total Expenses Prior Year220115TotalExpensesPriorYear
Total Expenses Current Year112084TotalExpensesCurrentYear
Revenues Less Expenses Prior Year317019RevenuesLessExpensesPriorYear
Revenues Less Expenses CY322149RevenuesLessExpensesCY
Total Assets BOY1660267TotalAssetsBOY
Total Assets EOY1936080TotalAssetsEOY
Total Liabilities BOY45364TotalLiabilitiesBOY
Total Liabilities EOY18242TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1614903NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1917838NetAssetsOrFundBalancesEOY
Mission DescriptionIMPROVE ORAL HEALTH CARE OF MASSACHUSETTS RESIDENTS AND ENHANCE EDUCATIONAL OPPORTUNITIES FOR THOSE WHO WISH TO PURSUE A CAREER AS A DENTAL HYGENIST, DANTAL ASSISTANT, OR LAB TECHNICIAN.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense93643Expense
Grants93643Grants
DescriptionINCREASE ACCESS TO ORAL HEALTH CARE.Description
Total Program Service Expense93643TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMDS C0 KATHLEEN BOYCENamePerson
Telephone Number5084809747TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1TWO WILLOW STREET SUITE 200AddressLine1
CitySOUTHBOROUGHCity
StateMAState
ZIP Code01745ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ALAN K DERKAZARIAN DMD
CHAIR4.00XX000
CHARLES A GAGNE DDS
TREASURER4.00XX000
JOHN P FISHER DDS
MEMBER4.00X000
RALPH FUCCILLO
MEMBER4.00X000
MINGHAO ERIC CHEN DMD
MEMBER4.00X000
RICHARD LOGUERCIO DDS
MEMBER4.00X000
ROBERT STEVEN LEWANDO DDS
MEMBER4.00X000
LEE ANN MITCHELL
MEMBER4.00X000
WILLIAM R DENNIS DDS
MEMBER4.00X000
SARA S BACHMAN PHD MS
MEMBER4.00X000
ABOL MASSIH TEHRANI DMD
MEMBER4.00X000
MICHAEL H WASSERMAN
MEMBER4.00X000
HOWARD M ZOLOT
MEMBER4.00X000
PAUL A RAYMOND DDS
MEMBER4.00X000
MICHAEL P SEIDMAN DDS
MEMBER4.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events25606FundraisingEvents
All Other Contributions372099AllOtherContributions
Total Contributions397705TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31842TotalRevenueColumn
Exclusion$31,842ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities104890Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities110011Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-5121Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5121TotalRevenueColumn
Exclusion-$5,121ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events53531GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events25606CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses43724FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column9807TotalRevenueColumn
Exclusion$9,807ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column434233TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$36,528ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total93643Total
Program Services93643ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6000Total
Management And General6000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1639Total
Management And General1639ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total943Total
Management And General943ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1363Total
Management And General1363ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total735Total
Management And General735ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1366Total
Management And General1366ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
FUNDRAISING AND DEVELOP47294729
BANK FEES15181518
MISCELLANEOUS148148

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total112084Total
Program Services93643ProgramServices
Management And General13712ManagementAndGeneral
Fundraising4729Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY77200BOY
EOY737348EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY659436BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13400BOY
EOY5000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15993BOY
EOY6607EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4375LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4375LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY894238BOY
EOY1187125EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1660267BOY
EOY1936080EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10490BOY
EOY4989EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34874BOY
EOY6650EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY6603EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45364BOY
EOY18242EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1183895BOY
EOY1579716EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY431008BOY
EOY338122EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1614903BOY
EOY1917838EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1660267BOY
EOY1936080EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses322149ReconcilationRevenueExpenses
Reconcilation Other Changes-19214ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DENTAL SOCIETYBusinessNameLine1
FieldValueIRS element (for citing)
EIN041590155EIN
Type Of Organization501(C)(6)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance659436BeginningOfYearBalance
Contributions324132Contributions
Investment Earnings Or Losses9045InvestmentEarningsOrLosses
End Of Year Balance992613EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance325062BeginningOfYearBalance
Contributions325918Contributions
Investment Earnings Or Losses8456InvestmentEarningsOrLosses
End Of Year Balance659436EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Contributions325050Contributions
Investment Earnings Or Losses12InvestmentEarningsOrLosses
End Of Year Balance325062EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis4375InvestmentCostOrOtherBasis
Depreciation4375Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$6,603Amount
FieldValueIRS element (for citing)
Total Of Amounts6603TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

ExplanationExplanation
PART V, LINE 3: BOARD DESIGNATED - FUNCTIONING AS ENDOWMENT NET ASSETS REPESENT FUNDS SET ASIDE BY THE MDSF BOARD OF TRUSTEES IN FURTHERANCE OF SUSTAINABLE PROGRAMS TO IMPROVE ACCESS TO DENTAL CARE FOR NEEDY AND VULNERABLE POPULATIONS IN THE COMMONWEALTH OF MASSACHUSETTS. THESE FUNDS MAY ONLY BE USED IN ACCORDANCE WITH THE DISTRIBUTION POLICY ADOPTED BY THE MDSF BOARD OF TRUSTEES.
MDSF FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD WHICH REQUIRES MDSF TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST THEIR ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AS OF APRIL 30, 2011, MDSF DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event179137GrossReceiptsEvent1
Charitable Contributions Event125606CharitableContributionsEvent1
Gross Revenue Event153531GrossRevenueEvent1
Rent Facility Costs Event121106RentFacilityCostsEvent1
Food And Beverage Event112499FoodAndBeverageEvent1
Other Direct Expenses Event110119OtherDirectExpensesEvent1
Gross Receipts Total79137GrossReceiptsTotal
Charitable Contributions Total25606CharitableContributionsTotal
Gross Revenue Total Events53531GrossRevenueTotalEvents
Rent Facility Costs Total Events21106RentFacilityCostsTotalEvents
Food And Beverage Total Events12499FoodAndBeverageTotalEvents
Other Direct Expenses Total Events10119OtherDirectExpensesTotalEvents
Direct Expense Summary Events43724DirectExpenseSummaryEvents
Net Income Summary9807NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ORAL HEALTH EXCELLENCE COLLABORATIVE HYANNIS CAPE COD FOUNDATION
115 ENTERPRISE ROADHYANNISMA02601510140462170(B)(1)(A)(V)20522INCREASE ACCESS TO DENTAL CARE
GREATER ROSLINDALE HEALTH ORGANIZATION ROSLINDALE
4199 WASHINGSTON STREETROSLINDALEMA02131042579527170(B)(1)(A)(V)22591INCREASE NUMBER OF DENTAL OPERATORIES
BOSTON HEALTH CARE FOR THE HOMELESS BOSTON
780 ALBANY STREETBOSTONMA02118043160480170(B)(1)(A)(V)12500INCREASED ACCESS TO DENTAL CARE AND EDUCATION TO PREGNANT WOMEN
LYNN COMMUNITY HEALTH CENTER LYNN
269 UNION STREETLYNNMA01901042525066170(B)(1)(A)(V)35000TREATMENT FOR HOMELESS INDIVIDUALS
(no name)
OUTREACH AND EDUCATION TO DIVERSE AND MULTICULTURAL POPULATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationSCHEDULE I, PART I, LINE 2: THESE GRANTS WERE TO PROVIDE FUNDING FOR A VARIETY OF DENTAL HYGIENE INITIATIVES. THE ORGANIZATIONS SUBMIT A REPORT BACK TO MASSACHUSETTS DENTAL SOCIETY FOUNDATION ON HOW THE GRANT MONIES WERE SPENT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE TRUSTEES BEFORE FILING. THE CFO OF A RELATED ENTITY REVIEWS THE RETURN PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY AND ANY CONFLICTS OF INTEREST ARE ANNOUNCED AT THE BEGINNING OF EACH MEETING.
AN EXECUTIVE DIRECTOR IS NOT COMPENSATED BECAUSE OVERSIGHT AND FINANCIAL SUPPORT ARE PROVIDED BY A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19HARD COPIES AVALIABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -19,214.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MASSACHUSETTS DENTAL SOCIETY
TWO WILLOW STREETSOUTHBOROUGHMA01745041590155PROMOTE & ADVANCE THE ART & SCIENCE OF DENTISTRY & INTEREST OF MEMBER DENTISMA501(C)(6)N/A0
MASSACHUSETTS DENTAL SOCIETY RELIEF FUND
TWO WILLOW STREETSOUTHBOROUGHMA01745046139122HELP DENTISTS IN NEEDMA501(C)(3)0LINE 11AMASSACHUSETTS DENTAL SOCIETY

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MDS INSURANCE SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1TWO WILLOW STREET SUITE 200AddressLine1
CitySOUTHBOROUGHCity
StateMAState
ZIP Code01745ZIPCode
FieldValueIRS element (for citing)
EIN043432374EIN
Primary ActivityINSURANCE AGENTPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DENTAL SOCIETYBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MASSACHUSETTS DENTAL SOCIETY
C324132AMOUNT OF CONTRIBUTIONS TO MDSF
MASSACHUSETTS DENTAL SOCIETY
D6603AMOUNT DUE TO MDS

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