AMERICAN DENTAL HYGIENISTS ASSOCIATION INSTITUTE FOR ORAL HEA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN DENTAL HYGIENISTS ASSOCIATION INSTITUTE FOR ORAL HEA (EIN 36-3468143)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349302967
Schema version
2010v3.4
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)
Timestamp2012-05-15T10:37:57-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLACKMAN KALLICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363468143EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENIST ASSOCIATIONBusinessNameLine1
Business Name Line2INSTITUTE FOR ORAL HEALTHBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone3124408900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1444 NORTH MICHIGAN AVE NO 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANN BATTRELLName
TitleEXECUTIVE DIRECTORTitle
Phone3124408900Phone
Date Signed2012-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID LOWENTHALName
Phone3122071040Phone
Date Prepared2012-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN BATTRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1444 NORTH MICHIGAN AVE NO 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
Gross Receipts216076GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ADHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE THE PROFESSION OF DENTAL HYGIENE THROUGH SCHOLARSHIPS, RESEARCH AND COMMUNITY SERVICE GRANTS THAT ARE OFFERED TO LICENSED DENTAL HYGIENISTS AND DENTAL HYGIENE STUDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year149203ContributionsGrantsPriorYear
Contributions Grants Current Year199846ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3867InvestmentIncomePriorYear
Investment Income Current Year2625InvestmentIncomeCurrentYear
Other Revenue Prior Year4817OtherRevenuePriorYear
Other Revenue Current Year11055OtherRevenueCurrentYear
Total Revenue Prior Year157887TotalRevenuePriorYear
Total Revenue Current Year213526TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year138597GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY128631GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53478SalariesEtcPriorYear
Salaries Etc Current Year65717SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year65746OtherExpensePriorYear
Other Expenses Current Year36529OtherExpensesCurrentYear
Total Expenses Prior Year257821TotalExpensesPriorYear
Total Expenses Current Year230877TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-99934RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-17351RevenuesLessExpensesCY
Total Assets BOY822894TotalAssetsBOY
Total Assets EOY839301TotalAssetsEOY
Total Liabilities BOY105263TotalLiabilitiesBOY
Total Liabilities EOY139021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY717631NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY700280NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE THE PROFESSION OF DENTAL HYGIENE THROUGH SCHOLARSHIPS, RESEARCH AND COMMUNITY SERVICE GRANTS THAT ARE OFFERED TO LICENSED DENTAL HYGIENISTS AND DENTAL HYGIENE STUDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense54968Expense
Grants44500Grants
DescriptionTHE ADHA INSTITUTE SCHOLARSHIP PROGRAM EXISTS PRIMARILY TO HELP STUDENTS IN THEIR SECOND YEAR OR ABOVE OF DENTAL HYGIENE SCHOOL TO MEET THEIR FINANCIAL NEEDS. ANNUAL SCHOLARSHIPS WITH A LIMIT OF $2,000 ARE DISTRIBUTED IN THE FALL OF EACH YEAR TO AN AVERAGE OF 60-80 STUDENTS (DEPENDENT ON FUNDING)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30084Expense
Grants18990Grants
DescriptionADHA INSTITUTE RESEARCH OFFER FINANCIAL ASSISTANCE TO INDIVIDUAL CONDUCTING RESEARCH IN THE SPECIFIC FIELD OF DENTAL HYGIENE. ADHA INSTITUTE SPONSORED RESEARCH GRANTS TO PROVIDE OPPORTUNITIES TO THOSE WITH VISION AND DISCIPLINE TO DISCOVER EXPANDED AND IMPROVED MEANS OF SERVING THE HEALTH NEEDS OF THE PUBLIC.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense74261Expense
Grants65141Grants
DescriptionADHA INSTITUTE COMMUNITY SERVICE GRANTS ARE AWARDED TO INDIVIDUALS WHO ARE INVOLVED IN SPECIFIC COMMUNITY HEALTH OR RESEARCH PROJECTS THAT PROVIDE MUCH NEEDED ORAL HEALTH CARE AND IMPROVE ACCESS TO CARE FOR UNDERINSURED POPULATIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense10088Expense
FieldValueIRS element (for citing)
Total Of Other Program Service Exp10088TotalOfOtherProgramServiceExp
Total Program Service Expense169401TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ISAAC CARPENTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3124408935TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1444 N MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LYNN RAMER LDH
CHAIR OF THE BOARD10.00X000
CARYN SOLIE RDH
CHAIR-ELECT OF THE BOARD2.00X000
PAMELA QUIONES RDH BS
DIRECTOR OF THE BOARD2.00X000
HOPE GARZA RDH
TREASURER OF THE BOARD2.00X000
SUSAN SAVAGE RDH BSDH
DIRECTOR OF THE BOARD2.00X000
ANN BATTRELL
EXEC. DIR./SECRETARY OF TH5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions199846AllOtherContributions
Total Contributions199846TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2625TotalRevenueColumn
Exclusion$2,625ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10605GrossIncomeFundraisingEvents
Fundraising Direct Expenses2550FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8055TotalRevenueColumn
Exclusion$8,055ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column3000TotalRevenueColumn
Exclusion$3,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column213526TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,680ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total128631Total
Program Services128631ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50468Total
Program Services25234ProgramServices
Management And General25234ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15249Total
Program Services7625ProgramServices
Management And General7624ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6250Total
Management And General6250ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3259Total
Management And General3259ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9676Total
Program Services485ProgramServices
Management And General9191ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4044Total
Program Services3748ProgramServices
Management And General296ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1153Total
Program Services1153ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2802Total
Management And General2802ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
GRAPHICS49794979
MISCELLANEOUS28663412525
DUES/SUBSCRIPTIONS15001500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total230877Total
Program Services169401ProgramServices
Management And General61476ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200606BOY
EOY450300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY599288BOY
EOY370469EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18484BOY
EOY16818EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14012LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12298LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4516BOY
EOY1714EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY822894BOY
EOY839301EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY45689BOY
EOY14344EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59574BOY
EOY124677EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105263BOY
EOY139021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY211983BOY
EOY193067EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY41138BOY
EOY42703EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY464510BOY
EOY464510EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY717631BOY
EOY700280EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY822894BOY
EOY839301EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-17351ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENTISTS' ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN362372371EIN
Type Of Organization501(C)(3)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1562OtherCostOrOtherBasis
Depreciation781Depreciation
Book Value781BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12450OtherCostOrOtherBasis
Depreciation11517Depreciation
Book Value933BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1714TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO ASSOCIATIONDescription
Amount$124,677Amount
FieldValueIRS element (for citing)
Total Of Amounts124677TotalOfAmounts
Total Revenue213526TotalRevenue
Total Expenses230877TotalExpenses
Excess Or Deficit For Year-17351ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-17351ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt151076TotRevenueEtcAuditedFinclStmt
Other Revenues2550OtherRevenues
Revenue Not Rptd F9902550RevenueNotRptdF990
Revenue Subtotal148526RevenueSubtotal
Other Revenues Not Included65000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt65000RevenueNotRptdOnFinStmt
Total Revenue Per Form990213526TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt168427TotExpensesEtcAuditedFinclStmt
Other Expenses Included2550OtherExpensesIncluded
Expenses Not Rptd F9902550ExpensesNotRptdF990
Expenses Subtotal165877ExpensesSubtotal
Other Expenses Not Included65000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt65000ExpensesNotRptdOnFinStmt
Total Expenses Per Form990230877TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ASSOCIATION'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE ASSOCIATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT STATUS. THE ASSOCIATION WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2008.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES 2,550.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ADDITIONAL CONTRIBUTIONS 65,000.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES 2,550.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ADDITIONAL GRANTS 65,000.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
VERMONT DHA
34 KAYS WAYCAMBRIDGEVT054440303287135000COMMUNITY SERVICE
BAKER VICTORY DENTAL CENTER
790 RIDGE ROADLACKAWANNANY142181610174535000COMMUNITY SERVICE
OLD DOMINION UNIVERSITY RESEARCH FOUNDATION
PO BOX 6369NORFOLKVA2350854606819810005COMMUNITY SERVICE AND RESEARCH GRANTS501(C)(3)
EMERALD COAST DHA
614 GOLF COURSE DRIVEFORT WALTON BEACHFL325472747042105000COMMUNITY SERVICE
SMILES ON WHEELS
7040 MCKAYJACKSONMI492012059647885000COMMUNITY SERVICE501(C)(3)
ARKANSAS STATE DHA CENTRAL DISTRICT
4301 W MARKHAM ST 609LITTLE ROCKAR722057160462425000COMMUNITY SERVICE
NORTH DAKOTA VETERAN'S HOME
316 WEBSTER STLISBONND580544503652265000COMMUNITY SERVICE
CARL WUNSCHE SR HIGH SCHOOL DENTAL PROGRAM
32910 RIVERWOOD DRMAGNOLIATX773545105925355000COMMUNITY SERVICE
CALIFORNIA DHA
PO BOX 123VISALIACA932793302108745000COMMUNITY SERVICE
UNIVERSITY OF SOUTHERN CALIFORNIA
925 WEST 34TH STREET ROOM 4338LOS ANGELESCA900899516423946096RESEARCH501(C)(3)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations7TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS3744500
COMMUNITY SERVICE GRANTS420141

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANT PROCESS IS MONITORED BY THE BOARD OF TRUSTEES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO PREPARE THE ORGANIZATION'S FORM 990. THE COMPLETED FORM 990 INCLUDING ALL SCHEDULES ARE POSTED ON THE ADHA BOARD OF TRUSTEES WEBSITE BEFORE FILING. ADHA'S CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR OF ADHA REVIEWED AND WERE AVAILABLE TO ANSWER ANY QUESTIONS.
AT THE BEGINNING OF EACH FISCAL YEAR, ADHA'S LEGAL COUNSEL ADDRESSES THE NEW BOARD TO EXPLAIN FIDUCIARY RESPONSIBILITY AND THEIR DUTIES OF CARE, LOYALTY, AND OBEDIENCE. EACH BOARD MEMBER COMPLETES A NEW CONFLICT OF INTEREST STATEMENT, WHICH IS KEPT ON FILE AT CENTRAL OFFICE. ADDITIONALLY, AT THE COMMENCEMENT OF EACH BOARD MEETING, THE PRESIDENT ASK IF ANYTHING HAD CHANGED TO PRESENT A CONFLICT AND PROVIDES THE OPPORTUNITY FOR BOARD MEMBERS TO DISCLOSE ANY NEW CONFLICT OR PERCEIVED CONFLICT.FORM 990, PART VI, SECTION B, LINE 12C
PUBLIC DISCLOSURE DOCUMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENISTS ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1444 N MICHIGAN AVENUE STE 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
EIN362372371EIN
Primary ActivitiesINDIVIDUAL MEMBERSHIP ASSOCIATION OF DENTAL HYGIENISTSPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(6)ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENISTS' ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeETransactionType
Amount Involved124677AmountInvolved

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