2012-03-15T14:08:17-05:00 2011-04-30 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2010-05-01 043466040 MDS FOUNDATION INC MDSF 5086517511 TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 KATHLEEN BOYCE 5086517511 2012-03-14 1 JOHN BUCKLEY CPA 5083669100 2012-03-14 2010 2016-02-24 21:20:13Z KATHLEEN M BOYCE TWO WILLOW STREET NO 200 SOUTHBOROUGH MA 01745 1102816 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 618884 443113 0 0 5000 74011 69526 20010 693410 537134 50000 131911 0 0 121210 546 0 0 0 253788 87658 424998 220115 268412 317019 1320885 1660267 39135 45364 1281750 1614903 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 131911 131911 INCREASE ACCESS TO ORAL HEALTH CARE. 131911 1 1 0 0 0 0 0 0 0 1 0 0 1 0 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 ANTHONY N GIAMBERARDINO 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 CHARLES L SILVIUS DDS 4.00 X 0 0 0 SARA S BACHMAN PHD MS 4.00 X 0 0 0 RONALD M CHAPUT DDS 4.00 X 0 0 0 PAULA K FRIEDMAN DDS 4.00 X 0 0 0 MICHEL A JUSSEAUME DDS 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 33827 409286 443113 6753 6753 373050 215000 363128 157664 9922 57336 67258 67258 64900 33827 44890 20010 20010 537134 0 0 94021 131911 131911 546 546 260 260 12251 12251 7290 7290 516 516 458 458 309 309 547 547 3097 3097 ADMINISTRATIVE ALLOCATI 38000 38000 MISCELLANEOUS 15355 15355 SALARY ALLOCATION 9575 9575 220115 131911 88204 0 208035 77200 325062 659436 24300 13400 6188 15993 4375 4375 156961 0 171826 193738 428513 700500 1320885 1660267 15160 10490 23975 34874 39135 45364 X 770179 1183895 511571 431008 1281750 1614903 1320885 1660267 X 317019 16134 X 0 1 1 X 0 X X 0 0 0 MASSACHUSETTS DENTAL SOCIETY 041590155 501(C)(6) 1 1 1 325918 1 325918 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 325062 325918 8456 659436 0 325050 12 325062 1.00000 0 0 4375 4375 0 0 DUE FROM AFFILIATE 700500 700500 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 98727 33827 64900 20618 12237 12035 98727 33827 64900 20618 12237 12035 44890 20010 1 VOLUNTEERS IN MEDICINE BERKSHIRES INC 777 MAIN STREET SUITE 4 GREAT BARRINGTON MA 01230 900140004 170(B)(1)(A)(V) 20000 INCREASE ACCESS TO DENTAL CARE HEALTHFIRST FAMILY CARE CENTER INC 102 COUNTY STREET FALL RIVER MA 02723 042503444 170(B)(1)(A)(V) 20000 INCREASE NUMBER OF DENTAL OPERATORIES GREATER LAWRENCE FAMILY HEALTH CENTER 34 HAVERHILL STREET LAWRENCE MA 01841 042708824 170(B)(1)(A)(V) 20911 INCREASED ACCESS TO DENTAL CARE AND EDUCATION TO PREGNANT WOMEN BOSTON HEALTHCARE FOR THE HOMELESS 780 ALBANY STREET BOSTON MA 02118 222599662 170(B)(1)(A)(V) 20000 TREATMENT FOR HOMELESS INDIVIDUALS CARING HEALTH CENTER INC 1145 MAIN STREET SUITE 205 SPRINGFIELD MA 01103 042620040 170(B)(1)(A)(V) 25000 OUTREACH AND EDUCATION TO DIVERSE AND MULTICULTURAL POPULATION 5 OTHER INFORMATION: PART IV: 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 GAINS ON INVESTMENTS: 16,134. 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 1 0 0 0 0 0 MASSACHUSETTS DENTAL SOCIETY M 38000 VALUE OF SERVICES PROVIDED BY MDS MASSACHUSETTS DENTAL SOCIETY C 325918 AMOUNT OF CONTRIBUTIONS TO MDSF MASSACHUSETTS DENTAL SOCIETY D 700500 AMOUNT DUE FROM MDS