A SMILE FOR KIDS: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- A SMILE FOR KIDS (EIN 87-0690147)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-15
- IRS object ID
- 201202289349202650
- 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 | 2012-08-15T15:25:03-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATRIX TAX AND CONSULTING SERVICES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3030 SW MOODY AVE STE 102 | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 972014867 | 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 | 870690147 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Advantage Smile for Kids | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ADVA | NameControl |
| Phone | 5415043920 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 442 SW Umatilla Avenue | AddressLine1 |
| City | Redmond | City |
| State | OR | State |
| ZIP Code | 97756 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R Mike Shirtcliff | Name |
| Title | Executive Dir. | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Randy L Wadsworth | Name |
| Phone | 5034750000 | 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 |
| Web Site | advantagesmilesforkids.com | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 161757 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 97688 | ContributionsGiftsGrantsEtc |
| Investment Income | 101 | InvestmentIncome |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 63960 | FundraisingGrossIncome |
| Special Events Direct Expenses | 41423 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 22537 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Other Revenue Total | 8 | OtherRevenueTotal |
| Total Revenue | 120334 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 96104 | FeesAndOthPymtToIndContractors |
| Printing Publications Postage | 225 | PrintingPublicationsPostage |
| Other Expenses Total | 1503 | OtherExpensesTotal |
| Total Expenses | 97832 | TotalExpenses |
| Excess Or Deficit For Year | 22502 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 143551 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 166053 | NetAssetsOrFundBalancesEOY |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143551 | BOY |
| EOY | 166053 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143551 | BOY |
| EOY | 166053 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143551 | BOY |
| EOY | 166053 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Provide orthodontic dental care to at-risk children. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | Amounts paid to orthodontists to provide dental care to at-risk children. | DescriptionProgramServiceAccom |
| Grants And Allocations | 84979 | GrantsAndAllocations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 84979 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Su Schatz | ||||||
| 25100 SW Neill Road | Sherwood | OR | 97140 | Trustee | 5.00 | 0 |
| Boni Traylor | ||||||
| 94753 Haynes Lane | North Bend | OR | 97459 | Secretary | 5.00 | 0 |
| R Mike Shirtcliff | ||||||
| 442 SW Umatilla | Redmond | OR | 97756 | Executive Dir. | 5.00 | 0 |
| Dennis Turner | ||||||
| 229 SE 2nd | Hermiston | OR | 97838 | Chairman | 5.00 | 0 |
| Juliana Panchura | ||||||
| 569 NE Clay | Bend | OR | 97701 | Treasurer | 5.00 | 0 |
| Robert Orr | ||||||
| 1539 W Harvard | Roseburg | OR | 97470 | Director | 0 | 0 |
| Don Laird | ||||||
| 425 SE Jackson Street | Roseburg | OR | 97470 | Director | 5.00 | 0 |
| Linda Dwight | ||||||
| PO Box 941 | Winchester | OR | 97495 | President & CEO | 5.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Advantage Professional Manage | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 442 SW Umatilla Avenue | AddressLine1 |
| City | Redmond | City |
| State | OR | State |
| ZIP Code | 97756 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5415043920 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | 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 | 65650 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25900 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20700 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93911 | CurrentTaxYearMinus1Year |
| Current Tax Year | 97688 | CurrentTaxYear |
| Total | 303849 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 65650 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25900 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20700 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93911 | CurrentTaxYearMinus1Year |
| Current Tax Year | 97688 | CurrentTaxYear |
| Total | 303849 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 303849 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3902 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 69 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 108 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101 | CurrentTaxYear |
| Total | 5783 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3902 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 69 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 108 | CurrentTaxYearMinus1Year |
| Current Tax Year | 101 | CurrentTaxYear |
| Total | 5783 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 23450 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 49278 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 57879 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63960 | CurrentTaxYear |
| Total | 213929 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 93002 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46865 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 70047 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 151898 | CurrentTaxYearMinus1Year |
| Current Tax Year | 161749 | CurrentTaxYear |
| Total | 523561 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.58040 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.01100 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts Event1 | 63960 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 63960 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 41423 | NonCashPrizesEvent1 |
| Gross Receipts Total | 63960 | GrossReceiptsTotal |
| Gross Revenue Total Events | 63960 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 41423 | NonCashPrizesTotalEvents |
| Direct Expense Summary Events | 41423 | DirectExpenseSummaryEvents |
| Net Income Summary | 22537 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Taxes $89 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | Bank Fees $420 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | License & Permits $994 |
| Form 990-EZ, Part I, Line 8.1 | Other Revenue.1 | Pop Can Refunds $8 |
Comments