PIERCE COUNTY DENTAL FOUNDATION: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PIERCE COUNTY DENTAL FOUNDATION (EIN 16-1682835)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-03-26
IRS object ID
201340859349200119
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)
Timestamp2013-03-26T18:08:38-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN911342742EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYAN JORGENSON & LIMOLI PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17525 PIONEER WAY STE 201AddressLine1
CityGIG HARBORCity
StateWAState
ZIP Code98335ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161682835EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIERCE COUNTY DENTAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPIERNameControl
Phone2532729960Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1221 TACOMA AVE S STE BAddressLine1
CityTACOMACity
StateWAState
ZIP Code98402ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR RICHARD COYNERName
TitlePRESIDENTTitle
Phone2532729960Phone
Date Signed2013-03-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSCOTT M LIMOLIName
PTINP00036931PTIN
Phone2538513425Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Schedule B Not RequiredXScheduleBNotRequired
Web SiteWWW.PCDENTISTS.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts6691GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc6679ContributionsGiftsGrantsEtc
Investment Income12InvestmentIncome
Total Revenue6691TotalRevenue
Grants And Similar Amounts Paid19612GrantsAndSimilarAmountsPaid
Fees And Oth Pymt To Ind Contractors2141FeesAndOthPymtToIndContractors
Printing Publications Postage730PrintingPublicationsPostage
Other Expenses Total612OtherExpensesTotal
Total Expenses23095TotalExpenses
Excess Or Deficit For Year-16404ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY37926NetAssetsOrFundBalancesBOY
Other Changes In Net Assets0OtherChangesInNetAssets
Net Assets Or Fund Balances EOY21522NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIXInfoInScheduleOPartII

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY37826BOY
EOY21522EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY100BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37926BOY
EOY21522EOY

Sum Of Total Liabilities SumOfTotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY37926BOY
EOY21522EOY
FieldValueIRS element (for citing)
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Primary Exempt PurposeTO AID AND SUPPORT DENTAL HEALTH AND CHARITABLE AND SCIENTIFIC PURPOSES THAT SUPPORT DENTAL HEALTH.PrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (2 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
SUPPORT DENTAL HEALTH THROUGH EDUCATIONAL, SCIENTIFIC AND CHARITABLE PURPOSES.1777421256
DENTAL HEALTH DAY18381838
FieldValueIRS element (for citing)
Total Program Service Expenses23094TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
DR RICHARD COYNER
PRESIDENT/BOARD CHAIR1.00000
DEBORAH LEWANDOWSKI
PRESIDENT-ELECT1.00000
DR AL BIRD
SECRETARY-TREASURER1.00000
DR ROSS DRANGSHOLT
DIRECTOR1.00000
MONICA HOSPENTHAL
DIRECTOR1.00000
DR JURGEN HUCK
DIRECTOR1.00000
PAT MOORE
DIRECTOR1.00000
DR JEFF REYNOLDS
DIRECTOR1.00000
DR SHERWIN SHINN
DIRECTOR1.00000
DR SAMMY PAK
DIRECTOR1.00000
FieldValueIRS element (for citing)
Info In Schedule O Part VXInfoInScheduleOPartV
Activities Not Previously Rpt0ActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc Doc0MadeChangesToOrgnzngEtcDoc
Organization Had UBI0OrganizationHadUBI
Subject To Proxy Tax0SubjectToProxyTax
Organization Dissolved Etc0OrganizationDissolvedEtc
Direct Indirect Political Expend0DirectIndirectPoliticalExpend
Made Loans To From Officers0MadeLoansToFromOfficers
Tax Imposed Under IRC49110TaxImposedUnderIRC4911
Tax Imposed Under IRC49120TaxImposedUnderIRC4912
Tax Imposed Under IRC49550TaxImposedUnderIRC4955
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTrans
Amount Of Tax Imposed On Org Mgr0AmountOfTaxImposedOnOrgMgr
Amount Of Tax Reimbursed By Org0AmountOfTaxReimbursedByOrg
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHERYL MINABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1221 B TACOMA AVENUE SOUTHAddressLine1
CityTACOMACity
StateWAState
ZIP Code98402ZIPCode
FieldValueIRS element (for citing)
Telephone Number2532729960TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccount
Foreign Office0ForeignOffice
Maintain Any Donor Advised Funds0MaintainAnyDonorAdvisedFunds
Does Org Have Hospital0DoesOrgHaveHospital
Tanning Services Provided0TanningServicesProvided
Related Org Controlled Entity0RelatedOrgControlledEntity
Engage Political Cmpgn Activities0EngagePoliticalCmpgnActivities
Engage In Lobbying Activities0EngageInLobbyingActivities
Operating School0OperatingSchool
Trnsfrs Exempt Non Char Related Org0TrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer
Filed Schedule A1FiledScheduleA

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16117CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26714CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28019CurrentTaxYearMinus1Year
Current Tax Year6679CurrentTaxYear
Total109725Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16117CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26714CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28019CurrentTaxYearMinus1Year
Current Tax Year6679CurrentTaxYear
Total109725Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509109725PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1095CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102CurrentTaxYearMinus1Year
Current Tax Year12CurrentTaxYear
Total1595Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1095CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year102CurrentTaxYearMinus1Year
Current Tax Year12CurrentTaxYear
Total1595Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33291CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16360CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28121CurrentTaxYearMinus1Year
Current Tax Year6691CurrentTaxYear
Total111320Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98570PublicSupportPercentage509
Prior Year Support Percentage0.97420PriorYearSupportPercentage
Investment Income Percentage0.01430InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02580PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER INVESTMENT INCOMEFORM 990-EZ, PART I, LINE 4INTEREST INCOME 12..
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: METROPOLITAN DEVELOPMENT COUNCIL - HEALTHCARE FOR GRANTEE NAME: METROPOLITAN DEVELOPMENT COUNCIL - HEALTHCARE FOR. AMOUNT GIVEN: 4,000.
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: COMMUNITY HEALTH CARE DENTAL CL. AMOUNT GIVEN: 1,500.
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: DENTAL HEALTH DAY. AMOUNT GIVEN: 1,838.
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: BATES TECHNICAL COLLEGE. AMOUNT GIVEN: 4,774.
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: HARBOR COMMUNITIY SERVICES. AMOUNT GIVEN: 2,500.
GRANTS AND SIMILAR AMOUNTS PAIDFORM 990-EZ, PART I, LINE 10ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: LINDQUIST DENTAL CLINIC FOR CHILDREN. AMOUNT GIVEN: 5,000. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 19,612.
OTHER EXPENSESFORM 990-EZ, PART I, LINE 16DESCRIPTION: OFFICE EXPENSE. AMOUNT: 612.
OTHER ASSETSFORM 990-EZ, PART II, LINE 24DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 100. END OF YEAR AMOUNT: 0.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE 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.Declaration

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