2013-03-07T13:54:20-06:00 2012-04-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2011-05-01 043466040 MDS FOUNDATION INC MDSF 5084809797 TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 KATHLEEN BOYCE 5086517511 2013-03-07 1 JOHN BUCKLEY CPA P00830631 5083669100 2013-03-07 2011 2016-02-25 16:41:14Z KATHLEEN M BOYCE TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 587968 0 X WWW.MDSFOUNDATION.ORG X 1999 MA IMPROVE 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. 15 15 0 0 0 0 443113 397705 0 0 74011 26721 20010 9807 537134 434233 131911 93643 0 0 546 0 0 0 4729 87658 18441 220115 112084 317019 322149 1660267 1936080 45364 18242 1614903 1917838 IMPROVE 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. 0 0 93643 93643 INCREASE ACCESS TO ORAL HEALTH CARE. 93643 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X X MDS C0 KATHLEEN BOYCE 5084809747 TWO WILLOW STREET SUITE 200 SOUTHBOROUGH MA 01745 X ALAN K DERKAZARIAN DMD 4.00 X X 0 0 0 CHARLES A GAGNE DDS 4.00 X X 0 0 0 JOHN P FISHER DDS 4.00 X 0 0 0 RALPH FUCCILLO 4.00 X 0 0 0 MINGHAO ERIC CHEN DMD 4.00 X 0 0 0 RICHARD LOGUERCIO DDS 4.00 X 0 0 0 ROBERT STEVEN LEWANDO DDS 4.00 X 0 0 0 LEE ANN MITCHELL 4.00 X 0 0 0 WILLIAM R DENNIS DDS 4.00 X 0 0 0 SARA S BACHMAN PHD MS 4.00 X 0 0 0 ABOL MASSIH TEHRANI DMD 4.00 X 0 0 0 MICHAEL H WASSERMAN 4.00 X 0 0 0 HOWARD M ZOLOT 4.00 X 0 0 0 PAUL A RAYMOND DDS 4.00 X 0 0 0 MICHAEL P SEIDMAN DDS 4.00 X 0 0 0 0 0 0 0 0 0 0 0 25606 372099 397705 31842 31842 104890 110011 -5121 -5121 -5121 53531 25606 43724 9807 9807 434233 0 0 36528 93643 93643 6000 6000 1639 1639 943 943 1363 1363 735 735 1366 1366 FUNDRAISING AND DEVELOP 4729 4729 BANK FEES 1518 1518 MISCELLANEOUS 148 148 112084 93643 13712 4729 77200 737348 659436 13400 5000 15993 6607 4375 4375 0 0 894238 1187125 1660267 1936080 10490 4989 34874 6650 0 6603 45364 18242 X 1183895 1579716 431008 338122 1614903 1917838 1660267 1936080 X 322149 -19214 X 0 1 1 X 0 X X 0 0 0 MASSACHUSETTS DENTAL SOCIETY 041590155 501(C)(6) 1 1 1 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 659436 324132 9045 992613 325062 325918 8456 659436 325050 12 325062 1.00000 0 0 4375 4375 0 0 DUE TO AFFILIATE 6603 6603 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. GOLF TOURNAMENT 79137 25606 53531 21106 12499 10119 79137 25606 53531 21106 12499 10119 43724 9807 1 ORAL HEALTH EXCELLENCE COLLABORATIVE HYANNIS CAPE COD FOUNDATION 115 ENTERPRISE ROAD HYANNIS MA 02601 510140462 170(B)(1)(A)(V) 20522 INCREASE ACCESS TO DENTAL CARE GREATER ROSLINDALE HEALTH ORGANIZATION ROSLINDALE 4199 WASHINGSTON STREET ROSLINDALE MA 02131 042579527 170(B)(1)(A)(V) 22591 INCREASE NUMBER OF DENTAL OPERATORIES BOSTON HEALTH CARE FOR THE HOMELESS BOSTON 780 ALBANY STREET BOSTON MA 02118 043160480 170(B)(1)(A)(V) 12500 INCREASED ACCESS TO DENTAL CARE AND EDUCATION TO PREGNANT WOMEN LYNN COMMUNITY HEALTH CENTER LYNN 269 UNION STREET LYNN MA 01901 042525066 170(B)(1)(A)(V) 35000 TREATMENT FOR HOMELESS INDIVIDUALS OUTREACH AND EDUCATION TO DIVERSE AND MULTICULTURAL POPULATION 4 SCHEDULE 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. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C ALL 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 19 HARD COPIES AVALIABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -19,214. MASSACHUSETTS DENTAL SOCIETY TWO WILLOW STREET SOUTHBOROUGH MA 01745 041590155 PROMOTE & ADVANCE THE ART & SCIENCE OF DENTISTRY & INTEREST OF MEMBER DENTIS MA 501(C)(6) N/A 0 MASSACHUSETTS DENTAL SOCIETY RELIEF FUND TWO WILLOW STREET SOUTHBOROUGH MA 01745 046139122 HELP DENTISTS IN NEED MA 501(C)(3) LINE 11A MASSACHUSETTS DENTAL SOCIETY 0 MDS INSURANCE SERVICES TWO WILLOW STREET SUITE 200 SOUTHBOROUGH MA 01745 043432374 INSURANCE AGENT MA MASSACHUSETTS DENTAL SOCIETY C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MASSACHUSETTS DENTAL SOCIETY C 324132 AMOUNT OF CONTRIBUTIONS TO MDSF MASSACHUSETTS DENTAL SOCIETY D 6603 AMOUNT DUE TO MDS