PATTERSON DENTAL FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PATTERSON DENTAL FOUNDATION (EIN 74-3076772)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-21
IRS object ID
201102649349100600
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)
Timestamp2011-09-21T10:29:53-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RYAN J TERRY LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1550 MAIN STREET SUITE 550AddressLine1
CityST PAULCity
StateMNState
ZIP Code55112ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN743076772EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PATTERSON FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPATTNameControl
Phone6516861725Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameR STEPHEN ARMSTRONGName
TitleSECRETARY/TREASURERTitle
Phone6516861725Phone
Date Signed2011-08-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6516363806Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY15984495FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss30853ContriReceivedRevAndExpnss
Dividends Rev And Expnss446519DividendsRevAndExpnss
Dividends Net Invst Incm446519DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss419770NetGainSaleAssetsRevAndExpnss
Gross Sales Price7775236GrossSalesPrice
Capital Gain Net Incm Net Invst Incm419770CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses897142TotalRevenueAndExpenses
Total Net Investment Income866289TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss14623AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm5066AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps9557AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss141967OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm110149OtherProfFeesNetInvstIncm
Other Prof Fees Adj Net Incm0OtherProfFeesAdjNetIncm
Other Prof Fees Dsbrs Chrtbl Prps32966OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss15021TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Adj Net Incm0TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Trav Conf Meeting Dsbrs Chrtbl Prps233TravConfMeetingDsbrsChrtblPrps
Other Expenses Rev And Expnss35917OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps32917OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss207528TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm115215TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm0TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps75673TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss576255ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps576255ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss783783TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm115215TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm0TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps651928TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses113359ExcessOfRevenueOverExpenses
Net Investment Income751074NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY23056SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY63590SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV63590SavingsAndTempCashInvstEOYFMV
Pledges Receivable20842PledgesReceivable
Allwnc For Dbtfl Acct Pledges Rcvbl1000AllwncForDbtflAcctPledgesRcvbl
Pledges Receivable BOY47153PledgesReceivableBOY
Pledges Receivable EOY19842PledgesReceivableEOY
Pledges Receivable EOYFMV19842PledgesReceivableEOYFMV
Prepaid Expenses BOY50PrepaidExpensesBOY
Investments Other BOY14281301InvestmentsOtherBOY
Investments Other EOY15867919InvestmentsOtherEOY
Investments Other EOYFMV15867919InvestmentsOtherEOYFMV
Other Assets BOY38874OtherAssetsBOY
Other Assets EOY33144OtherAssetsEOY
Other Assets EOYFMV33144OtherAssetsEOYFMV
Total Assets BOY14390434TotalAssetsBOY
Total Assets EOY15984495TotalAssetsEOY
Total Assets EOYFMV15984495TotalAssetsEOYFMV
Accounts Payable BOY29242AccountsPayableBOY
Accounts Payable EOY29514AccountsPayableEOY
Other Liabilities BOY0OtherLiabilitiesBOY
Other Liabilities EOY8733OtherLiabilitiesEOY
Total Liabilities BOY29242TotalLiabilitiesBOY
Total Liabilities EOY38247TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY14361192UnrestrictedBOY
Unrestricted EOY15946248UnrestrictedEOY
Total Net Assets BOY14361192TotalNetAssetsBOY
Total Net Assets EOY15946248TotalNetAssetsEOY
Total Liabilities Net Assets BOY14390434TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY15984495TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY14361192TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses113359ExcessOfRevenueOverExpenses
Other Increases1471697OtherIncreases
Subtotal15946248Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY15946248TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)

Description Of AssetDescriptionOfAssetHow AcquiredHowAcquiredGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
WELLS FARGO INVESTMENT STATEMENTSP77752367346118429118429118
INVESTMENTS GENERATING UNRELATED BUSINESS INCOMEP9348-9348-9348
FieldValueIRS element (for citing)
Capital Gain Net Income419770CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1571296QualifyingDistributionsYear1
Noncharitable Assets Year112571637NoncharitableAssetsYear1
Distribution Ratio Year10.045443DistributionRatioYear1
Qualifying Distributions Year2744765QualifyingDistributionsYear2
Noncharitable Assets Year215514126NoncharitableAssetsYear2
Distribution Ratio Year20.048006DistributionRatioYear2
Qualifying Distributions Year3724857QualifyingDistributionsYear3
Noncharitable Assets Year316961798NoncharitableAssetsYear3
Distribution Ratio Year30.042735DistributionRatioYear3
Qualifying Distributions Year4578263QualifyingDistributionsYear4
Noncharitable Assets Year415319068NoncharitableAssetsYear4
Distribution Ratio Year40.037748DistributionRatioYear4
Qualifying Distributions Year5963764QualifyingDistributionsYear5
Noncharitable Assets Year514257105NoncharitableAssetsYear5
Distribution Ratio Year50.067599DistributionRatioYear5
Total Distribution Ratio0.241531TotalDistributionRatio
Average Distribution Ratio0.048306AverageDistributionRatio
Net Noncharitable Assets14310066NetNoncharitableAssets
Adjusted Noncharitable Assets691262AdjustedNoncharitableAssets
One Percent Net Investment Income7511OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One698773AdjNonchrtblAssetsAndOnePct
Qualifying Distributions651928QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax15021InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal15021Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income15021TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment6288EstTaxPaymentsAndOverpayment
Tax Paid With Extension15000TaxPaidWithExtension
Total Credits And Payments21288TotalCreditsAndPayments
Form2220 AttachedXForm2220Attached
Overpayment6267Overpayment
Amount Credited To Next Year6267AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws1ChangesToArticlesOrBylaws
Unrelated Bus Income Over10001UnrelatedBusIncomeOver1000
Form990 T Filed1Form990TFiled
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithMNStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.PATTERSONFOUNDATION.NETWebsiteAddress
Books In Care Of Person NameR STEPHEN ARMSTRONGBooksInCareOfPersonName
Books In Care Of Phone Number6516861600BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
R STEPHEN ARMSTRONG
1031 MENDOTA HEIGHTS ROADST PAULMN55120TREASURER0.10000
RONALD E EZERSKI
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
GEORGE L HENRIQUES
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
RICHARD A KOCHMANN
1031 MENDOTA HEIGHTS ROADST PAULMN55120SECRETARY0.10000
MATTHEW L LEVITT
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
ROBERT C CLIFFORD
1031 MENDOTA HEIGHTS ROADST PAULMN55120VICE PRESIDENT0.10000
SCOTT P ANDERSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
JAMES W WILTZ
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
DAVID P SPROAT
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
GARY D JOHNSON
1031 MENDOTA HEIGHTS ROADST PAULMN55120PRESIDENT0.10000
PAMELA A HEMMEN
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
PAUL A GUGGENHEIM
1031 MENDOTA HEIGHTS ROADST PAULMN55120DIRECTOR0.10000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities14434564AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances40436AvgMonthlyCashBalances
FMV All Other Noncharitable Assets52986FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets14527986TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets14527986AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable217920CashDeemedCharitable
Net Noncharitable Assets14310066NetNoncharitableAssets
Minimum Investment Return715503MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return715503MinimumInvestmentReturn
Tax Based On Investment Income15021TaxBasedOnInvestmentIncome
Total Tax15021TotalTax
Distributable Amount Before Adj700482DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded700482DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted700482DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions651928ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions651928QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions651928AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted700482DistributableAmountAsAdjusted
Undistributed Income Prior Year386913UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Total Excess Distri Carryover0TotalExcessDistriCarryover
Qualifying Distributions651928QualifyingDistributions
Applied To Year1386913AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year265015AppliedToCurrentYear
Remaining Distri From Corpus0RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus0TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY435467UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year50ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year0ExcessDistriCyovToNextYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameKIM POIRIER ADMINISTRATORRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11031 MENDOTA HEIGHTS ROADAddressLine1
CityST PAULCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number6516861929RecipientPhoneNumber
Form And Info And MaterialsAPPLICATIONS SHOULD INCLUDE ALL ITEMS REQUESTED IN THE GRANT APPLICATION. GRANT APPLICATIONS CAN BE OBTAINED BY WRITING, EMAILING (INFORMATION@PATTERSONFOUNDATION.NET) OR CALLING (651) 686-1929. THE GRANT APPLICATION INCLUDES A BRIEF DESCRIPTION OF YOUR PROJECT AND STATEMENT OF NEED, SUMMARY OF THE ORGANIZATION, ITS MISSION AND GOALS, ORGANIZATION BUDGET, AND A PROJECT BUDGET.FormAndInfoAndMaterials
Submission DeadlinesMOST APPLICATIONS THAT RECEIVE FUNDING REQUIRE 60 TO 140 DAYS FOR CONSIDERATION AND APPROVAL.SubmissionDeadlines
Restrictions On AwardsTHE FOUNDATION FOCUSES ON PROVIDING GRANTS IN EDUCATION, HEALTH AND HUMAN SERVICES, AND EDUCATIONAL SCHOLARSHIPS. EDUCATION GRANTS ARE SUPPORT FOR EDUCATION IN THE FOUNDATION'S FOCUS AREAS OF ORAL HEALTH, ANIMAL HEALTH, AND OCCUPATIONAL AND PHYSICAL REHABILITATION. HEALTH AND HUMAN SERVICES GRANTS ASSIST PROGRAMS THAT BENEFIT ECONOMICALLY DISADVANTAGED PEOPLE OR YOUTH WITH SPECIAL NEEDS. EDUCATIONAL SCHOLARSHIPS ARE SUPPORT FOR DEPENDENTS OF PATTERSON COMPANIES, INC EMPLOYEES.RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (21 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
DENTAL FOUNDATION OF OREGON
PO BOX 2448WILSONVILLEOR97070NONEPUBLIC CHARITYSUPPORT DENTISTS, HYGIENISTS AND DENTAL ASSISTANTS WHO VOLUNTEER WITH TOOTH$4,000
AMERICAN OCCUPATIONAL THERAPY FOUNDATION
4720 MONTGOMERY LANE PO BOX 31220BETHESDAMD20824NONEPUBLIC CHARITYSURVEY ON VOLUNTEERING BY OCCUPATIONAL THERAPISTS AND 5 VOLUNTEER AWARDS$15,500
CARE CLINIC
1407 WEST 4TH STREETRED WINGMN55066NONEPUBLIC CHARITYSTART-UP COSTS FOR NEW DENTAL CLINIC$18,000
NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION
4108 PARK ROAD SUITE 406CHARLOTTENC28209NONEPUBLIC CHARITYGROWING NUMBER OF LOCAL AFFILIATES, INCREASING ORAL HEALTH ZONES$70,000
CHILDREN'S DENTAL CENTER OF GREATER LOS ANGELES
300 EAST BUCKTHORN STREETINGLEWOODCA90301NONEPUBLIC CHARITYSUPPORT STUDENTS IN DENTAL PROFESSIONS WHO VOLUNTEER IN ORGANIZATION$20,000
DADE COUNTY DENTAL RESEARCH CLINIC
750 NW 20TH STREETMIAMIFL33127NONEPUBLIC CHARITYVOLUNTEER RECRUITMENT MATERIALS$9,500
UC DAVIS SCHOOL OF VETERINARY MEDICINE
ONE SHIELDS AVENUEDAVISCA95616NONEPUBLIC CHARITYDEVELOPMENT OF FIRST 10 MODULES OF THE NEW ONLINE SELF-ASSESMENT TOOL$14,555
INTERFAITH DENTAL CLINIC
1721 PATTERSON STREETNASHVILLETN37203NONEPUBLIC CHARITYSUPPORT COSTS OF A DENTAL ASSISTANT TO WORK WITH THE$12,000
IOWA MISSION OF MERCY
5530 WEST PARKWAY SUITE 100JOHNSTONIA50131NONEPUBLIC CHARITYMISSION OF MERCY ON NOVEMBER 5 AND 6 IN CEDAR RAPIDS, IA$10,000
KIDS IN DISTRESS
819 NE 26TH STREETFORT LAUDERDALEFL33305NONEPUBLIC CHARITYUTILITY COSTS OF NEW 12-OPERATORY DENTAL CLINIC$10,000
RED RIVER VALLEY DENTAL ACCESS PROJECT
OPO BOX 1748FARGOND58107NONEPUBLIC CHARITYRECRUIT ADDITIONAL DENTAL PROFESSIONALS FOR URGENT CARE DENTAL CLINIC$4,000
ORAL HEALTH AMERICA
410 NORTH MICHIGAN AVENUE SUITE 352CHICAGOIL60611NONEPUBLIC CHARITYEXPAND MILES AROSS AMERICA PROGRAM$53,500
SCHOLARSHIP AMERICA
ONE SCHOLARSHIP WAY PO BOX 297ST PETERMN56082NONEEXEMPT ORGANIZATIONSCHOLARSHIPS$153,000
UNION GOSPEL MISSION TWIN CITIES
77 9TH STREET EASTST PAULMN55101NONEPUBLIC CHARITYPILOT AND EVALUATE IMPACT OF PROVIDING MEALS FOR DENTAL VOLUNTEERS$5,500
DOOR COUNTY MEMORIAL HOSPITAL FOUNDATION
1843 MICHIGAN STREERTSTURGEON BAYWI54235NONEPUBLIC CHARITYSUPPORT DENTAL PROFESSIONALS VOLUNTEERING AT YOUR CLINIC$2,200
GENESIS WORLD MISSION INC
215 WEST 35TH STREETGARDEN CITYID83714NONEPUBLIC CHARITYEXPANSION OF TWO-OPERATORY DENTAL CLINIC HOURS$6,000
AMERICA'S DENTISTS CARE FOUNDATION
9110 E 35TH STREET NORTHWICHITAKS67226NONEPUBLIC CHARITYNON-DENTAL EQUIPMENT FOR ONE NEW SEMI-TRAILER AND UPGRADES TO OTHER NON-DENT$125,000
LOS ANGELES EDUCATION PARTNERSHIP
1055 WEST SEVENTH STREET SUITE 200LOS ANGELESCA90017NONEPUBLIC CHARITYORAL HEALTH INITIATIVE FOR LOW-INCOME CHILDREN AND PARENTS$10,000
ST LUKE'S HEALTH CARE FOUNDATION
855 A AVENUE NE SUITE 105CEDAR RAPIDSIA52402NONEPUBLIC CHARITYCONSTRUCTION COSTS FOR UPDATING AND EXPANDING DENTAL CLINIC$15,000
TEXAS A&M COLLEGE OF VETERINARY MEDICINE
4461 TAMUCOLLEGE STATIONTX77845NONEPUBLIC CHARITYFUNDING FOR PATTERSON MINORITY FELLPW IN VETERINARY MEDICINE$12,000
VOLUNTEERS IN MEDICINE BERKSHIRES
777 MAIN STREET SUITE 4GREAT BARRINGTONMA01230NONEPUBLIC CHARITYINMPLEMENTATION OF E-MDS SOFTWARE IN DENTAL CLINIC$6,500
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year576255TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$446,519ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Business Code525990BusinessCode
Unrelated Business Income-$9,348UnrelatedBusinessIncomeAmount
Exclusion Code18ExclusionCode
Exclusion$429,118ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income-$9,348UnrelatedBusinessIncomeAmount
Exclusion$875,637ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA866289TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo (3 entries)

Contributor NumberContributorNumberContributor Name IndividualContributorNameIndividualAddress Line1ContributorAddressUS/AddressLine1CityContributorAddressUS/CityStateContributorAddressUS/StateZIP CodeContributorAddressUS/ZIPCodeAggregate ContributionsAggregateContributionsPerson Contribution TypePersonContributionTypeNoncash Contribution TypeNoncashContributionType
1SIT INVESTMENTS3300 IDS CEENTER 80 SOUTH 8TH STREEMINNEAPOLISMN5540212437X
2TIM WAGSTAFF13518 TAYLORCREST ROADHOUSTONTX770795000X
3PAUL GUGGENHEIM1009 SUMMIT AVENUEST PAULMN551045249X

Noncash Property NoncashProperty

FieldValueIRS element (for citing)
Contributor Number From Part I3ContributorNumberFromPartI
Noncash Property Description172 SHARES OF PATTERSON COMPANIESNoncashPropertyDescription
Fair Market Value5249FairMarketValue
Date Received2010-12-17DateReceived

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING AND AUDITINGCategory
Amount$14,623Amount
Net Investment Income5066NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps9557DisbursementsCharitablePrps

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
Return Reference990-PF, PART I, LINE 6ReturnReference
ExplanationTHE FOUNDATION IS REPORTING THE NET GAIN FROM INVESTMENT TRANSACTIONS ON LINE 6. THE FOUNDATION'S ACCOUNTING SYSTEM RECORDED THESE INVESTMENT TRANSACTIONS. OBTAINING THE DATA OF GROSS SALES PRICE ON A TRANSACTION-BY-TRANSACTION BASIS WOULD REQUIRE SUBSTANTIAL ADDITIONAL ACCOUNTING COST AND EFFORT. THE FOUNDATION IS AUDITED BY INDEPENDENT CPA'S AND THE GAIN OR LOSS AND COST FIGURES ARE REGULARLY RECONCILED TO THE CUSTODIAN'S RECORDS. THE DETAIL IS ULTIMATELY AVAILABLE IN THE FOUNDATION'S RETAINED RECORDS.Explanation

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (4 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
MONEY MARKET FUNDSFMV2051220512
EQUITIESFMV1008212210082122
BONDS AND NOTESFMV30890143089014
POOLED, COMMON AND COLLECTIVE FUNDSFMV26762712676271

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBOY Book ValueBOYBookValueEOY Book ValueEOYBookValueEOYFMVEOYFMV
ACCRUED EXCISE TAX RECEIVABLE6610322322
ACCRUED INTEREST AND DIVIDENDS322643282232822

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
MISCELLANEOUS52000520
WRITE-OFF OF PROMISE TO GIVE3000000
FUNDRAISING - DVD323970032397

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionUNREALIZED GAINSDescription
Amount$1,471,697Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEXCISE TAX PAYABLEDescription
BOY Book Value0BOYBookValue
EOY Book Value8733EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (3 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
INVESTMENT MANAGEMENT FEES$110,14911014900
SCHOLARSHIP FEES$9,250009250
GRANTS CONSULTING$22,5680023716

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryEXCISE AND UNRELATED BUSINESS INCOME TAXESCategory
Amount$15,021Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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