PIERCE COUNTY DENTAL FOUNDATION: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PIERCE COUNTY DENTAL FOUNDATION (EIN 16-1682835)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-04-17
- IRS object ID
- 201201089349200845
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-17T16:03:47-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911342742 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RYAN JORGENSON & LIMOLI PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7525 PIONEER WAY STE 201 | AddressLine1 |
| City | GIG HARBOR | City |
| State | WA | State |
| ZIP Code | 98335 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161682835 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PIERCE COUNTY DENTAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PIER | NameControl |
| Phone | 2532729960 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 TACOMA AVE S STE B | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR RICHARD COYNER | Name |
| Title | PRESIDENT | Title |
| Phone | 2532729960 | Phone |
| Date Signed | 2012-04-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT M LIMOLI | Name |
| PTIN | P00036931 | PTIN |
| Phone | 2538513425 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | WWW.PCDENTISTS.ORG | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 28121 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 28019 | ContributionsGiftsGrantsEtc |
| Investment Income | 102 | InvestmentIncome |
| Total Revenue | 28121 | TotalRevenue |
| Grants And Similar Amounts Paid | 31608 | GrantsAndSimilarAmountsPaid |
| Fees And Oth Pymt To Ind Contractors | 2277 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 3313 | PrintingPublicationsPostage |
| Other Expenses Total | 1867 | OtherExpensesTotal |
| Total Expenses | 39065 | TotalExpenses |
| Excess Or Deficit For Year | -10944 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 48870 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 0 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | 37926 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48770 | BOY |
| EOY | 37826 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100 | BOY |
| EOY | 100 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48870 | BOY |
| EOY | 37926 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48870 | BOY |
| EOY | 37926 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | TO AID AND SUPPORT DENTAL HEALTH AND CHARITABLE, SCIETIFIC PURPOSES THAT SUPPORT DENTAL HEALTH. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (2 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Grants And AllocationsGrantsAndAllocations | Program Service ExpensesProgramServiceExpenses |
|---|---|---|
| SUPPORT DENTAL HEALTH THROUGH EDUCATIONAL, SCIENTIFIC AND CHARITABLE PURPOSES. | 30915 | 7457 |
| DENTAL HEALTH DAY | 693 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 7457 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| RICHARD COYNER | ||||||||
| 7715 PIONEER WAY | GIG HARBOR | WA | 98335 | PRESIDENT | 1.00 | 0 | 0 | 0 |
| DEBORAH LEWANDOWSKI | ||||||||
| 4500 STEILACOOM BLVD SW | LAKEWOOD | WA | 98499 | PRESIDENT-ELECT | 1.00 | 0 | 0 | 0 |
| DR AL BIRD | ||||||||
| 4707 S JUNETT | TACOMA | WA | 98409 | SECRETARY-TREASURER | 1.00 | 0 | 0 | 0 |
| DR ROSS DRANGSHOLT | ||||||||
| 9618 59TH AVE SW | LAKEWOOD | WA | 98499 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| MONICA HOSPENTHAL | ||||||||
| 9401 FARWEST DR SW | LAKEWOOD | WA | 984981999 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| DR JURGEN HUCK | ||||||||
| ALLENMORE MEDICAL CENTER B-5006 | TACOMA | WA | 98405 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| PAT MOORE | ||||||||
| 2502 SOUTH 78TH ST | TACOMA | WA | 98409 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| DR JEFF REYNOLDS | ||||||||
| 10510 GRAVELLY LAKE DR | LAKEWOOD | WA | 98499 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| DR SHERWIN SHINN | ||||||||
| 130 131ST ST SOUTH | TACOMA | WA | 98444 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| DR THEODORE BAER | ||||||||
| 1628 S MILDRED SUITE 206 | TACOMA | WA | 98465 | DIRECTOR | 1.00 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | 0 | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | 0 | OrganizationHadUBI |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtc |
| Direct Indirect Political Expend | 0 | DirectIndirectPoliticalExpend |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTrans |
| Amount Of Tax Imposed On Org Mgr | 0 | AmountOfTaxImposedOnOrgMgr |
| Amount Of Tax Reimbursed By Org | 0 | AmountOfTaxReimbursedByOrg |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | WA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL MINA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 B TACOMA AVENUE SOUTH | AddressLine1 |
| City | TACOMA | City |
| State | WA | State |
| ZIP Code | 98402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2532729960 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Foreign Office | 0 | ForeignOffice |
| Maintain Any Donor Advised Funds | 0 | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | 0 | DoesOrgHaveHospital |
| Tanning Services Provided | 0 | TanningServicesProvided |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | 0 | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | 0 | EngageInLobbyingActivities |
| Operating School | 0 | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | 0 | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | 1 | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30586 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32196 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16117 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26714 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28019 | CurrentTaxYear |
| Total | 133632 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30586 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32196 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16117 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26714 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28019 | CurrentTaxYear |
| Total | 133632 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 133632 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1955 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1095 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 243 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 102 | CurrentTaxYear |
| Total | 3538 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1955 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1095 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 243 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 143 | CurrentTaxYearMinus1Year |
| Current Tax Year | 102 | CurrentTaxYear |
| Total | 3538 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32541 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 33291 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16360 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26857 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28121 | CurrentTaxYear |
| Total | 137170 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97420 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97180 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02580 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02820 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER INVESTMENT INCOME | FORM 990-EZ, PART I, LINE 4 | INTEREST INCOME 102.. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: CITY OF TACOMA, PROJECT HOMELESS. AMOUNT GIVEN: 4,723. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: COMMUNITY HEALTH CARE DENTAL CL. AMOUNT GIVEN: 7,750. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: PIERCE COUNTY DENTISTS CARE GRANT. AMOUNT GIVEN: 5,381. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: DENTAL HEALTH DAY. AMOUNT GIVEN: 772. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: BATES TECHNICAL COLLEGE. AMOUNT GIVEN: 1,082. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: PIERCE COLLEGE FOUNDATION. AMOUNT GIVEN: 2,500. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: DELIVERING MOBILE DENTISTRY. AMOUNT GIVEN: 5,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: HARBOR COMMUNITIY SERVICES. AMOUNT GIVEN: 2,000. |
| GRANTS AND SIMILAR AMOUNTS PAID | FORM 990-EZ, PART I, LINE 10 | ACTIVITY CLASSIFICATION: GRANT. GRANTEE NAME: PUYALLUP SCHOOLS ACCESS TO CARE. AMOUNT GIVEN: 2,400. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 31,608. |
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | DESCRIPTION: OFFICE EXPENSE. AMOUNT: 1,660. DESCRIPTION: MISCELLANEOUS. AMOUNT: 207. TOTAL TO FORM 990-EZ, LINE 16: 1,867. |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 100. END OF YEAR AMOUNT: 100. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE 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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