2011-11-15T12:56:11-06:00 2010-12-31 EDELSTEIN AND COMPANY LLP 160 FEDERAL STREET 9TH FLOOR BOSTON MA 021101772 990PF 2010-01-01 043265080 DENTAQUEST FOUNDATION INC DENT 6178861700 465 MEDFORD STREET BOSTON MA 02129 SCOTT FROCK 6178861700 2011-11-15 1 ALFONSO PERILLO 6172276161 2011-11-15 2010 2016-03-07 17:11:31Z X 63147243 X 7992750 6 6 1107979 1107979 -1923022 43306575 0 369125 311175 7546838 1419160 369554 0 369554 597651 0 597651 178865 0 178865 13427 0 13427 474105 110529 363576 26000 0 0 8926 0 8926 150295 0 150295 31822 0 31822 65681 0 65681 1916326 110529 1779797 3706486 3706486 5622812 110529 5486283 1924026 1308631 6474549 13777198 13777198 2919577 3100855 3100855 25230901 29545214 29545214 20057629 15223976 15223976 18377 1500000 1500000 54701033 63147243 63147243 10572 0 10572 0 X 54690461 63147243 54690461 63147243 54701033 63147243 54690461 1924026 6532756 63147243 0 63147243 SALE OF PUBLICLY TRADED SECURITIES 43306575 45232565 -1925990 -1925990 PASSTHROUGH LOSSES FROM ACADIAN INT'L ALL-CAP FUND K-1 -211441 -211441 PASSTHROUGH GAINS FROM THE COLCHESTER GLOBAL BOND FUND K-1 5643 5643 PASSTHROUGH GAINS FROM PRIMUS HIGH YIELD BOND FUND, L.P. K-1 208766 208766 -1923022 0 5390796 46455810 0.116041 6327495 44185636 0.143203 3954271 34759996 0.113759 4914876 17435513 0.281889 2114561 13775369 0.153503 0.808395 0.161679 55133057 8913858 13086 8926944 5486283 26173 0 26173 0 26173 19000 32000 51000 X 24827 24827 0 0 0 0 0 0 0 0 0 0 0 1 1 MA 1 0 0 0 0 1 WWW.DENTAQUESTFOUNDATION.ORG RALPH FUCCILLO 6178861700 465 MEDFORD STREET BOSTON MA 02129 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHESTER W DOUGLAS DMD 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 FAY DONOHUE 465 MEDFORD STREET BOSTON MA 02129 5.00 0 0 0 RALPH FUCCILLO 465 MEDFORD STREET BOSTON MA 02129 40.00 262339 88767 0 NEIL B EPSTEIN DMD 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 RODERICK K KING MD 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 SHEPARD GOLDSTEIN DMD 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 HAROLD COX 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 NORMAN TINANOFF DDS 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 MARYLOU SUDDERS 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 SCOTT FROCK 465 MEDFORD STREET BOSTON MA 02129 5.00 0 0 0 DONALD KENNEY 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 MICHAEL S MCPHERSON 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 LINDA NIESSEN DMD 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 EILEEN ALVAREZ RESIGNED 4212010 465 MEDFORD STREET BOSTON MA 02129 40.00 107215 6267 0 MARION KANE 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 CASWELL A EVANS JR DDS 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 MYRA GREEN APPOINTED 42210 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 DOUGLAS B HARDING RESIGNED 42210 465 MEDFORD STREET BOSTON MA 02129 1.00 0 0 0 MICHAEL MONOPOLI 465 MEDFORD STREET BOSTON MA 02129 40.00 268920 76306 0 JUDITH FOLEY 465 MEDFORD STREET BOSTON MA 02129 40.00 101044 13195 0 BRENDA LAVASTA 465 MEDFORD STREET BOSTON MA 02129 40.00 64695 13269 0 BRENDA COCUZZO 465 MEDFORD STREET BOSTON MA 02129 40.00 53957 23491 0 OLUBIYI OGUNJIMI 465 MEDFORD STREET BOSTON MA 02129 40.00 63250 12798 0 0 TRACY GARLAND 4759 51ST PLACE SW SEATTLE WA 98116 MANAGEMENT TRAINING 160623 PATRICK W FINNERTY 15217 WINDY RIDGE ROAD MIDLOTHIAN VA 23112 STRATEGIC PLANNING 55553 0 0 49730270 6242377 0 55972647 0 0 55972647 839590 55133057 2756653 2756653 26173 26173 2730480 22650 2753130 0 2753130 5486283 0 5486283 0 5486283 2753130 0 0 1435772 4068814 2250450 4149415 2959032 14863483 5486283 0 0 0 2753130 2733153 0 0 17596636 0 0 0 0 0 0 1435772 16160864 4068814 2250450 4149415 2959032 2733153 BRENDA LAVASTA 465 MEDFORD ST BOSTON MA 02129 6178861760 DENTAQUEST FOUNDATION USES A SPECIFIC ONLINE APPLICATION PROCESS CONSISTING OF EASY-TO-FOLLOW STEPS FOR GRANT SEEKERS INCLUDING ONLINE DATA ENTRY, THE PREPARATION OF STANDARDIZED FORMS, ADDING REQUIRED ATTACHMENTS AND SAVING AN UNFINISHED APPLICATION TO RETURN TO IT LATER FOR COMPLETION AND SUBMISSION. APPLICATIONS ARE ACCEPTED ON AN ONGOING BASIS, AND DECISIONS ARE MADE WITHIN 6 WEEKS OF RECEIPT THE FOUNDATION INVITES GRANT APPLICATIONS FROM NON-PROFIT ORGANIZATIONS THAT QUALIFY AS TAX EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE CATEGORIZED AS PUBLIC CHARITIES OR GOVERNMENTAL PROGRAMS. GRANT REQUESTS FOR THE FOLLOWING WILL NOT BE CONSIDERED: BUILDING OR ENDOWMENT CAMPAIGNS; INDIVIDUALS; DIRECT CARE FOR AN INDIVIDUAL; INDIVIDUALLY-OWNED PROJECTS; DIRECT INDIVIDUAL SCHOLARSHIPS; GENERAL OVERHEAD OR INDIRECT COSTS ALONE; PREVIOUSLY INCURRED EXPENSES OR TO ELIMINATE BAD DEBT; CLINICAL OR BIO-MEDICAL LAB RESEARCH; PROMULGATION OF RELIGIOUS BELIEFS OR PRACTICES; AND POLITICAL CAMPAIGNS. AMERICAN DENTAL ASSOCIATION FOUNDATION 211 E CHICAGO AVE CHICAGO IL 60611 N/A 509(A) TO IMPROVE ORAL HEALTH 15000 ASSOCIATED GRANT MAKERS INC 55 COURT STREET BOSTON MA 02108 N/A 509(A) TO IMPROVE ORAL HEALTH 8200 BOSTON COLLEGE CENTER FOR CORPORATE CITIZENSHIP 55 LEE ROAD CHESTNUT HILL MA 02467 N/A 509(A) TO IMPROVE ORAL HEALTH 2000 BOSTON UNIVERSITY GOLDMAN SCHOOL OF DENTAL MEDICINE 715 ALBANY STREET STE 560 BOSTON MA 02118 N/A UNIVERSITY TO IMPROVE ORAL HEALTH 500 CAPE COD FOUNDATION 259 WILLOW STREET YARMOUTHPORT MA 02675 N/A 509(A) TO IMPROVE ORAL HEALTH 119791 CDA FOUNDATION 1201 K ST STE 1511 SACRAMENTO CA 95814 N/A 509(A) TO IMPROVE ORAL HEALTH 25000 CHILDREN'S DENTAL HEALTH PROJECT INC 2001 L STREET NW STE 400 WASHINGTON DC 20036 N/A 509(A) TO IMPROVE ORAL HEALTH 195000 CHILDREN'S HOSPITAL CORPORATION 300 LONGWOOD AVENUE BOSTON MA 02115 N/A HOSPITAL TO IMPROVE ORAL HEALTH 121110 COMMUNITY HEALTH CONNECTIONS INC 275 NICHOLS RD FITCHBURG MA 01420 N/A 509(A) TO IMPROVE ORAL HEALTH 52467 CONNECTICUT FOUNDATION FOR DENTAL OUTREACH 835 WEST QUEEN STREET SOUTHINGTON CT 06489 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 COUNTY UNITED WAY INC 71 BALTIMORE STREET 3RD FLR CUMBERLAND MD 21501 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 ERNA YAFFE FOUNDATION 2 REGENCY PLAZA APT 912 PROVIDENCE RI 02903 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 FAMILY HEALTH CENTER 26 QUEEN STREET WORCESTER MA 01610 N/A 509(A) TO IMPROVE ORAL HEALTH 24837 FLORIDA DEPARTMENT OF HEALTH 224 SE 24TH ST GAINESVILLE FL 32641 N/A GOV'T TO IMPROVE ORAL HEALTH 70560 FLORIDA PUBLIC HEALTH INSTITUTE INC 1622 N FEDERAL HIGHWAY STE B LAKE WORTH FL 33460 N/A 509(A) TO IMPROVE ORAL HEALTH 150000 FRAMEWORKS INSTITUTE 1776 I STREET NW 9TH FLR WASHINGTON DC 20006 N/A 509(A) TO IMPROVE ORAL HEALTH 142500 GRANT MAKERS IN HEALTH 1100 CONNECTICUT AVE NW STE 1200 WASHINGTON DC 20036 N/A 509(A) TO IMPROVE ORAL HEALTH 60113 GULF COAST DENTAL OUTREACH 4812 LONGWATER WAY TAMPA FL 33615 N/A 509(A) TO IMPROVE ORAL HEALTH 20000 HEALTH CARE FOR ALL INC 30 WINTER STREET 10TH FLR BOSTON MA 02108 N/A 509(A) TO IMPROVE ORAL HEALTH 285981 HEALTH CARE OPTIONS 10 EMORY STREET ATTLEBORO MA 02703 N/A 509(A) TO IMPROVE ORAL HEALTH 50000 HEALTH FOUNDATION OF SOUTH FLORIDA 2 S BISCAYNE BLVD STE 1710 MIAMI FL 33131 N/A 509(A) TO IMPROVE ORAL HEALTH 75000 HEALTH RESOURCES IN ACTION INC 95 BERKELEY ST BOSTON MA 02116 N/A 509(A) TO IMPROVE ORAL HEALTH 55000 HEALTH FIRST FAMILY CARE CENTER 102 COUNTRY ST FALL RIVER MA 02723 N/A 509(A) TO IMPROVE ORAL HEALTH 50000 HILLTOWN COMMUNITY HEALTH CENTERS 58 OLD NORTH ROAD WORTHINGTON MA 01098 N/A 509(A) TO IMPROVE ORAL HEALTH 25184 HISPANIC DENTAL ASSOCIATION 3085 STEVENSON DR STE 200 SPRINGFIELD IL 62703 N/A 509(A) TO IMPROVE ORAL HEALTH 139000 ILLINOIS STATE DENTAL SOCIETY FOUNDATION PO BOX 217 SPRINGFIELD IL 62705 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 KENTUCKY YOUTH ADVOCATES INC 11001 BLUEGRASS PKWY STE 100 JEFFERSONTOWN KY 40299 N/A 509(A) TO IMPROVE ORAL HEALTH 80000 LYNN COMMUNITY HEALTH CENTER 269 UNION STREET LYNN MA 01901 N/A 509(A) TO IMPROVE ORAL HEALTH 25000 MARYLAND STATE DENTAL ASSOCIATION 6410F DOBBIN RD COLUMBIA MD 21045 N/A 509(A) TO IMPROVE ORAL HEALTH 166742 MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST 10TH FLR BOSTON MA 02108 N/A 509(A) TO IMPROVE ORAL HEALTH 210000 MASSACHUSETTS HEAD START ASSOCIATION INC 68 ALLISON AVENUE TAUNTON MA 02780 N/A 509(A) TO IMPROVE ORAL HEALTH 115755 MASSACHUSETTS HEALTH COUNCIL INC 73 OAK STREET 1ST FLR NEWTON MA 02464 N/A 509(A) TO IMPROVE ORAL HEALTH 2500 MASSACHUSETTS PUBLIC HEALTH ASSOCIATION 434 JAMAICAWAY JAMAICA PLAIN MA 02130 N/A 509(A) TO IMPROVE ORAL HEALTH 1250 MEDICAIDSCHIP DENTAL ASSOCIATION 2 GROVE STREET SANDWICH MA 02563 N/A 509(A) TO IMPROVE ORAL HEALTH 168670 METROPOLITAN CHICAGO HEALTHCARE COUNCIL 222 S RIVERSIDE PLAZA STE 1900 CHICAGO IL 60060 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 MORE HEALTH INC 3821 HENDERSON BLVD TAMPA FL 33629 N/A 509(A) TO IMPROVE ORAL HEALTH 85000 NATIONAL DENTAL ASSOCIATION INC 3517 16TH STREET NW WASHINGTON DC 20010 N/A 509(A) TO IMPROVE ORAL HEALTH 2000 NATIONAL INSTITUTE OF DENTISTRY FOR THE DEVELOPMENTALLY DISABLED PO BOX 330309 NASHVILLE TN 37203 N/A 509(A) TO IMPROVE ORAL HEALTH 5000 NEW ENGLAND RURAL ORAL HEALTH ROUNDTABLE 10 BENNING STREET BOX 184 W LEBANON NH 03784 N/A 509(A) TO IMPROVE ORAL HEALTH 4000 NEW YORK STATE DENTAL FOUNDATION 20 CORPORATE WOODS BLVD STE 602 ALBANY NY 12211 N/A 509(A) TO IMPROVE ORAL HEALTH 15000 NORTH FLORIDA MEDICAL CENTERS INC 535 JOHN KNOX RD TALLAHASSEE FL 32303 N/A 509(A) TO IMPROVE ORAL HEALTH 56583 NORTHEAST CENTER FOR HEALTHY COMMUNITIES 1 CANAL ST LAWRENCE MA 01840 N/A 509(A) TO IMPROVE ORAL HEALTH 36425 NOVA SOUTHEASTERN UNIVERSITY INC 3301 COLLEGE AVENUE FORT LAUDERDALE FL 33314 N/A UNIVERSITY TO IMPROVE ORAL HEALTH 109404 ORAL HEALTH AMERICA 410 N MICHIGAN AVE STE 352 CHICAGO IL 60611 N/A 509(A) TO IMPROVE ORAL HEALTH 33200 REGENTS OF UNIVERSITY OF COLORADO ANSCHUTZ MEDICAL CAMPUS BLDG 55 AURORA CO 80045 N/A 509(A) TO IMPROVE ORAL HEALTH 60000 ROBERT T FREEMAN DENTAL SOCIETY FOUNDATION INC 3517 16TH STREET NW WASHINGTON DC 20010 N/A 509(A) TO IMPROVE ORAL HEALTH 5000 SOCIETY OF TEACHERS OF FAMILY MEDICINE FOUNDATION 11400 TOMAHAWK CREEK PKWY STE 540 LEAWOOD KS 66211 N/A 509(A) TO IMPROVE ORAL HEALTH 149000 THE ALBERT SCHWEITZER FELLOWSHIP 330 BROOKLINE AVENUE BR BOSTON MA 02215 N/A 509(A) TO IMPROVE ORAL HEALTH 10000 THE DIMOCK CENTER 55 DIMOCK ST CHENEY BLDG 2ND FL ROXBURY MA 02119 N/A 509(A) TO IMPROVE ORAL HEALTH 5000 THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET STE 700 BOSTON MA 02111 N/A 509(A) TO IMPROVE ORAL HEALTH 14000 TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE ONE KNEELAND STREET 3RD FLR BOSTON MA 02111 N/A UNIVERSITY TO IMPROVE ORAL HEALTH 166685 UNIVERSITY OF MARYLAND 650 W BALTIMORE STREET ROOM 2207 BALTIMORE MD 21201 N/A UNIVERSITY TO IMPROVE ORAL HEALTH 275484 VIRGINIA DENTAL ASSOCIATION FOUNDATION 7201 GLEN FOREST DRIVE STE 301 RICHMOND VA 23226 N/A 509(A) TO IMPROVE ORAL HEALTH 152670 BEST BUDDIES 3 ST MARYS ROAD MILTON MA 02186 N/A 509(A) TO IMPROVE ORAL HEALTH 1000 COMMUNITY WORKS 25 WEST STREET 5TH FLR BOSTON MA 02111 N/A 509(A) TO IMPROVE ORAL HEALTH 125 SOUTH END COMMUNITY HEALTH CENTER 1601 WASHINGTON STREET BOSTON MA 02118 N/A 509(A) TO IMPROVE ORAL HEALTH 2500 BOSTON PUBLIC HEALTH COMMISSION 774 ALBANY STREET BOSTON MA 02118 N/A GOV'T TO IMPROVE ORAL HEALTH 750 HOPE FOUND 170 MORTON STREET JAMAICA PLAIN MA 02130 N/A 509(A) TO IMPROVE ORAL HEALTH 300 JOSLIN DIABETES CENTER ONE JOSLIN PLACE BOSTON MA 02215 N/A HOSPITAL TO IMPROVE ORAL HEALTH 1000 VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION 500 RUTHERFORD AVE CHARLESTOWN MA 02129 N/A 509(A) TO IMPROVE ORAL HEALTH 1000 FAMILY SERVICE OF GREATER BOSTON 31 HEATH STREET JAMAICA PLAIN MA 02130 N/A 509(A) TO IMPROVE ORAL HEALTH 1000 MUSEUM OF AFRICAN AMERICAN HISTORY 14 BEACON STREET STE 719 BOSTON MA 02108 N/A 509(A) TO IMPROVE ORAL HEALTH 1000 HENRY SCHEIN CARES FOUNDATION INC 135 DURYEA ROAD MELVILLE NY 11747 N/A 509(A) TO IMPROVE ORAL HEALTH 1000 WHITTIER STREET HEALTH CENTER 1125 TREMONT STREET ROXBURY MA 02120 N/A 509(A) TO IMPROVE ORAL HEALTH 200 MASSACHUSETTS SOCIETY FOR THE PREVENTION OF CRUELTY TO CHILDREN 99 SUMMER STREET BOSTON MA 02110 N/A 509(A) TO IMPROVE ORAL HEALTH 5000 3706486 0 PROGRAM DUES 57950 14 6 14 1107979 18 -1923022 PASSTHROUGH ACADIAN INT'L ALL-CAP FUND K-1 INCOME 14 84096 PASSTHROUGH PRIMUS HIGH YIELD BOND FUND, LP K-1 INCOME 14 215284 PASSTHROUGH COLCHESTER GLOBAL BOND FUND K-1 INCOME 14 11795 0 -503862 57950 -445912 1A PROGRAM DUES REPRESENT REIMBURSEMENTS RECEIVED FOR MEETING AND TRAVEL EXPENSES ASSOCIATED WITH THE PROGRAM CONFERENCES FACILITATED BY THE FOUNDATION. 0 0 0 0 0 1 0 0 0 1b(4) 65705 DENTAL SERVICES OF MASSACHUSETTS INC THE FOUNDATION REIMBURSES DENTAL SERVICES OF MASSACHUSETTS, INC. FOR THE COST OF EMPLOYEE BENEFITS SUCH AS HEALTH AND DENTAL INSURANCE, ETC. 1 DENTAL SERVICES OF MASSACHUSETTS INC 501(C)(4)CORPORATION DENTAL SERVICES OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF THE CORPORATION. X X 1 DENTAL SERVICES OF MASSACHUSETTS IN 465 MEDFORD STREET BOSTON MA 02129 7983000 X 2 CONNECTICUT HEALTH FOUNDATION 100 PEARL STREET HARTFORD CT 06103 6500 X ACCOUNTING EXPENSE 13427 0 13427 SSGA PASSIVE BOND MKT CTF 12679962 12679962 COLCHESTER GLOBAL BOND FUND 2544014 2544014 SSGA IRONWOOD SMALL COMPANY STOCK FUND 2100076 2100076 RUSSELL 3000 INDEX NON-LENDING STRATEGY 18872858 18872858 SSGA MSCI ACWI EX USA INDEX NON-LENDING QP STRATEGY 8572280 8572280 3100855 3100855 0 0 WEATHERLOW OFFSHORE FUND FMV 1500000 1500000 SUPPLIES 51612 0 51612 SUBSCRIPTIONS AND DUES 2808 0 2808 TELEPHONE 11261 0 11261 PROGRAM DUES 57950 57950 PASSTHROUGH ACADIAN INT'L ALL-CAP FUND K-1 INCOME 84096 84096 84096 PASSTHROUGH PRIMUS HIGH YIELD BOND FUND, LP K-1 INCOME 215284 215284 215284 PASSTHROUGH COLCHESTER GLOBAL BOND FUND K-1 INCOME 11795 11795 11795 UNREALIZED GAINS ON INVESTMENTS 6510106 RETURN OF UNEXPENDED GRANT FUNDS 22650 DUE TO AFFILIATE 10572 0 CONSULTING EXPENSE 363576 0 363576 INVESTMENT MANAGEMENT FEES 110529 110529 0 FEDERAL EXCISE TAXES 26000 0 0