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Nonprofiteer
← MINNESOTA DENTAL FOUNDATION INC

Form 990 for tax year 2022

Filed by MINNESOTA DENTAL FOUNDATION INC.

Totals

Total revenue
$576,968
Total expenses
$554,675
Contributions and grants received
$577,260
Grants paid
$236,419
Program service revenue
$0
Investment income
$31,293
Other revenue
-$31,585
Total assets, end of year
$2,153,028
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$2,153,028
Program services expenses (Part IX)
$510,680
Management and general expenses
$41,523
Fundraising expenses
$2,472
Program service expenses (Part III)
$510,680

Program services were 92.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $103,585

  • 1e · Government grants (contributions)

    $120,000

  • 1f · All other contributions, gifts and grants

    $353,675

  • 1g · Noncash contributions included above

    $82,291

  • 3 · Investment income

    total $31,293 · excluded $31,293

  • 7a · Gross sales of assets other than inventory

    securities $262,065

  • 7b · Less cost or other basis and sales expenses

    securities $262,065

  • 7c · Gain or loss

    securities $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $30,292

  • 8a · Fundraising events: contributions included on line 1c

    $103,585

  • 8b · Fundraising events: direct expenses

    $61,877

  • 8c · Net income from fundraising events

    total -$31,585 · excluded -$31,585

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $157,619 · program services $157,619

  • 2 · Grants to domestic individuals

    total $78,800 · program services $78,800

  • 11b · Fees: legal

    total $1,190 · management and general $1,190

  • 11c · Fees: accounting

    total $8,500 · management and general $8,500

  • 11g · Fees: other

    total $20,000 · management and general $20,000

  • 13 · Office expenses

    total $9,174 · management and general $7,227 · fundraising $1,947

  • 14 · Information technology

    total $4,032 · management and general $4,032

  • 19 · Conferences, conventions and meetings

    total $469 · management and general $469

  • 24a · Other expenses: MISSION OF MERCY PROGRA

    total $274,261 · program services $274,261

  • 24b · Other expenses: MISCELLANEOUS

    total $630 · management and general $105 · fundraising $525

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,430,525 · end of year $427,936

  • 4 · Accounts receivable

    beginning of year $8,006 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $27,684 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $611,380 · end of year $1,722,592

  • 15 · Other assets

    beginning of year $2,500 · end of year $2,500

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,201 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $1,103,766 · end of year $1,161,281

  • 28 · Net assets with donor restrictions

    beginning of year $975,128 · end of year $991,747

Mission and programs · 2022

Mission

MINNESOTA DENTAL FOUNDATION'S MISSION IS TO INITIATE AND SUPPORT PROGRAMS THAT PROVIDE DENTAL SERVICES TO UNDERSERVED POPULATIONS AND COMMUNITIES; ENCOURAGE AND SUPPORT VOLUNTEERISM WITHIN THE PROFESSION; AND PROMOTE CAREERS IN DENTISTRY, ESPECIALLY IN UNDERSERVED AREAS.

Activities or mission (Part I)

THE VISION OF THE MINNESOTA DENTAL FOUNDATION IS TO ELIMINATE UNMET ORAL HEALTH NEEDS IN MN.

  • GRANTS WERE GIVEN TO BOARD-APPROVED ORGANIZATIONS THAT HAVE AN INTEREST IN IMPROVING THE ORAL HEALTHCARE OF THE UNDERSERVED IN MINNESOTA. THESE GRANTS INCLUDED COMMUNITY AND VOLUNTEER DENTAL CLINICS THROUGHOUT THE STATE, NON-DENTAL NOT FOR PROFIT ORGANIZATIONS THAT HAVE AN INTEREST IN ORAL HEALTHCARE, AS WELL AS THOSE NOT FOR PROFIT CLINICS INVOLVED IN THE NATIONALLY RECOGNIZED GIVE KIDS A SMILE PROGRAM IN FEBRUARY.

    Expenses $155,007 · Grants $155,007

  • TWO SIGNIFICANT PROGRAMS HELP THE UNDERSERVED ACCESS FREE DENTAL CARE. THE MINNESOTA MISSION OF MERCY PROJECT PROVIDES FREE DENTAL CARE TO PATIENTS OVER A WEEKEND VISITING A DIFFERENT CITY IN MINNESOTA EACH YEAR. THE DONATED DENTAL SERVICES PROVIDE ELDERLY, DISABLED OR MEDICALLY FRAGILE INDIVIDUALS WHO COULD NOT AFFORD NEEDED DENTISTRY WITH FREE DENTAL CARE IN PRIVATE DENTAL OFFICES THROUGHOUT THE YEAR. A SECOND PROGRAM IS THE MINNESOTA HEROES ORTHODONTIC PROGRAM WHICH PROVIDES FREE ORTHODONTIC CARE TO CHILDREN AND SPOUSES OF GOLD STAR FAMILIES.

    Expenses $274,261

  • EDUCATION LOAN FORGIVENESS MONIES WERE GIVEN TO THREE DENTISTS WHO HAVE AGREED TO PRACTICE IN THE TACONITE ASSISTANCE AREA OF NORTHEASTERN MINNESOTA FOR AT LEAST FIVE YEARS TO HELP WITH ACCESS TO DENTAL SERVICES IN THAT PART OF THE STATE. THE FOUNDATION ALSO ADVISED THE DELTA DENTAL OF MINNESOTA FOUNDATION IN CREATING A PROGRAM TO HELP REPAY EDUCATIONAL LOANS FOR RECIPIENTS PRACTICING IN A RURAL HEALTH PROFESSIONS SHORTAGE AREA (HPSA) FOR FIVE YEARS.

    Expenses $78,800 · Grants $78,800

  • THE MINNESOTA DENTAL FOUNDATION OVERSEES A PROGRAM THAT HELPS RETIRED DENTISTS MAINTAIN THEIR DENTAL LICENSE AS LONG AS THEY ARE NOT RECEIVING ANY INCOME FROM DENTISTRY AND AGREE TO ONLY PROVIDE DENTISTRY TO THE UNDERSERVED.

    Expenses $2,612 · Grants $2,612

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • CARMELO CINQUEONCE

    EXECUTIVE DIRECTOR, MN DENTAL ASSN

    Total calculated
    $287,551
    From this org
    $0
    From related orgs
    $275,366
    Other
    $12,185
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,366 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,108 related
    Nontaxable benefits
    $0 + $2,077 related
    Filer's total
    $0 + $287,551 related

  • VICKI CAPISTRANT

    DIRECTOR OF OPERATIONS

    Total calculated
    $116,633
    From this org
    $0
    From related orgs
    $108,569
    Other
    $8,064
    Hours/week
    1 + 40 related

  • DR STEPHEN LITTON

    PRESIDENT

    Total calculated
    $0
    Hours/week
    25

  • DR MICHAEL KURKOWSKI

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DR LAURA ENG

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DR AMBER CZIOK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • S RENEE DOTSON JD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BRUCE DOWNEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR ANGELA HASTINGS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR LEE JESS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR KIRSTEN LANGGUTH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR ROSALIE PERPICH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR KARL SELF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ERIK SKOE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DR MICHAEL ZAKULA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO'S COMPENSATION IS PAID BY THE FOUNDATION'S PARENT COMPANY: MINNESOTA DENTAL ASSOCIATION. THE COMPENSATION IS ESTABLISHED THROUGH AN INDEPENDENT COMPENSATION CONSULTANT, IS APPROVED BY THE BOARD OF TRUSTEES, AND INCLUDED IN A WRITTEN EMPLOYMENT CONTRACT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
18 September 2023
IRS schema version
2022v5.0
Source object
202303059349301205

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