Civic Intelligence

Mission Dental Foundation Inc

EIN 01-0731775 • 501(c)3 • Newberg, OR

Profile

Provide affordable dental care by providing qualified providers with low cost equipment.

PO Box 772Newberg, OR 97132

www.rota-dent.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2023

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2023

Net Margin

13th percentile

-54%

Higher net margin than 13% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2023

Top Officer Pay

84th percentile

$0

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

13th percentile

-70%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Revenue Growth

41st percentile

-9.2%

Faster revenue growth than 41% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2023

Assets

Up

$167,425

Up $126,233 (+306%) from 2023

Liabilities

Up

$1,638

Up $1,638 from 2023

Net Assets

Up

$165,787

Up $124,595 (+302%) from 2023

Revenue

Up

$190,828

Up $11,969 (+6.7%) from 2023

Expenses

Down

$66,233

Down $209,738 (-76%) from 2023

Net Income

Up

$124,595

Up $221,707 (+228%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2010: $136,249Liabilities 2010: $68,222Net Assets 2010: $68,0272010Assets 2011: $247,097Liabilities 2011: $30,137Net Assets 2011: $216,9602011Assets 2012: $138,713Liabilities 2012: $1,574Net Assets 2012: $137,1392012Assets 2013: $201,699Liabilities 2013: $1,485Net Assets 2013: $200,2142013Assets 2014: $254,255Liabilities 2014: $57,759Net Assets 2014: $196,4962014Assets 2015: $76,637Liabilities 2015: $11,856Net Assets 2015: $64,7812015Assets 2016: $216,593Liabilities 2016: $109,587Net Assets 2016: $107,0062016Assets 2017: $88,668Liabilities 2017: $947Net Assets 2017: $87,7212017Assets 2018: $56,493Liabilities 2018: $0Net Assets 2018: $56,4932018Assets 2019: $74,626Liabilities 2019: $15,181Net Assets 2019: $59,4452019Assets 2020: $76,400Liabilities 2020: $17,888Net Assets 2020: $58,5122020Assets 2021: $41,466Liabilities 2021: $0Net Assets 2021: $41,4662021Assets 2022: $138,304Liabilities 2022: $0Net Assets 2022: $138,3042022Assets 2023: $41,192Liabilities 2023: $0Net Assets 2023: $41,1922023Assets 2024: $167,425Liabilities 2024: $1,638Net Assets 2024: $165,7872024

Highlighted filing

2024

Assets$167,425
Liabilities$1,638
Net Assets$165,787

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2010: $290,849Expenses 2010: $427,581Net Income 2010: -$136,7322010Expenses 2011: $262,5162011Revenue 2012: $275,953Expenses 2012: $355,774Net Income 2012: -$79,8212012Revenue 2013: $83,440Expenses 2013: $20,365Net Income 2013: $63,0752013Revenue 2014: $913,286Expenses 2014: $917,004Net Income 2014: -$3,7182014Revenue 2015: $338,037Expenses 2015: $469,752Net Income 2015: -$131,7152015Revenue 2016: $554,830Expenses 2016: $512,605Net Income 2016: $42,2252016Revenue 2017: $434,958Expenses 2017: $454,243Net Income 2017: -$19,2852017Revenue 2018: $158,758Expenses 2018: $189,986Net Income 2018: -$31,2282018Revenue 2019: $262,310Expenses 2019: $259,358Net Income 2019: $2,9522019Revenue 2020: $194,259Expenses 2020: $195,192Net Income 2020: -$9332020Revenue 2021: $45,472Expenses 2021: $62,518Net Income 2021: -$17,0462021Revenue 2022: $197,085Expenses 2022: $100,247Net Income 2022: $96,8382022Revenue 2023: $178,859Expenses 2023: $275,971Net Income 2023: -$97,1122023Revenue 2024: $190,828Expenses 2024: $66,233Net Income 2024: $124,5952024

Highlighted filing

2024

Revenue$190,828
Expenses$66,233
Net Income$124,595

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.67$0.02$1.66$1.91$0.66$1.25
2023Detailed filing. Detailed filing data is available for this year.$0.41$0.00$0.41$1.79$2.76$0.97
2022Detailed filing. Detailed filing data is available for this year.$1.38$0.00$1.38$1.97$1.00$0.97
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.41$0.00$0.41$0.45$0.63$0.17
2020Detailed filing. Detailed filing data is available for this year.$0.76$0.18$0.59$1.94$1.95$0.01
2019Detailed filing. Detailed filing data is available for this year.$0.75$0.15$0.59$2.62$2.59$0.03
2018Detailed filing. Detailed filing data is available for this year.$0.56$0.00$0.56$1.59$1.90$0.31
2017Detailed filing. Detailed filing data is available for this year.$0.89$0.01$0.88$4.35$4.54$0.19
2016Detailed filing. Detailed filing data is available for this year.$2.17$1.10$1.07$5.55$5.13$0.42
2015Detailed filing. Detailed filing data is available for this year.$0.77$0.12$0.65$3.38$4.70$1.32
2014Detailed filing. Detailed filing data is available for this year.$2.54$0.58$1.96$9.13$9.17$0.04
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.02$0.01$2.00$0.83$0.20$0.63
2012Summary only. Only limited summary data is available for this year.$1.39$0.02$1.37$2.76$3.56$0.80
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.47$0.30$2.17$2.63
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.36$0.68$0.68$2.91$4.28$1.37
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 2, 2025
Return Version
2023v6.0
Gross Receipts
$190,828
Mission and Program Overview

Mission

Provide affordable dental care by providing qualified providers with low cost equipment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$23,442$142,400▲ $118,958
Accounts Receivable$17,750$25,025▲ $7,275
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$41,192$167,425▲ $126,233
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses-$1,638-
Total Liabilities$0$1,638▲ $1,638
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$41,192$165,787▲ $124,595
Total Net Assets Fund Balance$41,192$165,787▲ $124,595
Total Liabilities and Net Assets / Fund Balance$41,192$167,425▲ $126,233
Compensation and Service Providers

Board Members and Trustees

NameTitle
Eric BergquamPresident
Gary StewartBoard Member
Greg WatsonBoard Member
Ken Austin IiiBoard Member
Larry StroberBoard Member
Raquel Peregrino De BritoSecretary
Daniel KeulerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$55,708
Program Service Revenue
$135,120
Investment Income
$0
Other Revenue
$0
All Other Contributions
$55,708
Change in Net Assets
$124,595

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$55,708Fair Market Value (FMV)
Total Noncash Contributions1$55,708-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$66,233
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$2,040--$2,040
Office Expenses-$1,236-$1,236
Insurance-$1,010-$1,010
Other Expenses$4,485$550-$550
Total Functional Expenses$62,233$4,000$0$66,233
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

A draft of the form 990 is reviewed by the board prior to submission.

Form 990, Part VI, Section B, Line 12C

Board members complete a detailed questionnaire annually to identify any actual or potential conflicts of interest. The information is presented to the board chair and shared with the board. If any actual or potential conflicts of interest are identified, policy requires the board to obtain disclosure of the financial interest and all material facts, and to determine (in the absence of the interested person) whether a conflict exists. The organizations policies outline a set of procedures for addressing any conflicts that are determined.

Form 990, Part VI, Section C, Line 19

Upon request and filed with guidestar.

Filing and Contact Details

Filer

Filer Name
Mission Dental Foundation Inc
EIN
01-0731775
Phone
5035372756
Address
PO Box 772, Newberg, OR 97132

Signing Officer

Name
Daniel Keuler
Title
Treasurer
Signed
2025-04-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel Keuler
Formed
2001
Legal Domicile
Or
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
10

Preparer

Firm
Kern & Thompson LLC
Address
1800 SW FIRST AVE STE 410, PORTLAND, OR 97201
Preparer
Jonna Vercellini CPA
Phone
5032223338
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IRS990/PYTotalRevenueAmt0178859
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IRS990/ReconcilationRevenueExpnssAmt0124595
IRS990/RegularMonitoringEnfrcInd0true
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IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0135120
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt055708
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IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt093997
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt016267
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt065069
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt0315226
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt055708
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt084185
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt093997
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt022787
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt091149
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0347826
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0135120
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt094674
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0103088
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt022685
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0103110
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0458677
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.60910
IRS990ScheduleA/PublicSupportPY509Pct00.59680
IRS990ScheduleA/PublicSupportTotal509Amt0491277
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt055708
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt084185
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt093997
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt016267
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt065069
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt0315226
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0190828
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0178859
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0197085
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt045472
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0194259
IRS990ScheduleA/Total509Grp/TotalAmt0806503
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0190828
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0178859
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0197085
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt045472
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0194259
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0806503
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt01
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0DENTAL EQUIPMENT
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0FMV
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt055708
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD PRIOR TO SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS COMPLETE A DETAILED QUESTIONNAIRE ANNUALLY TO IDENTIFY ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE INFORMATION IS PRESENTED TO THE BOARD CHAIR AND SHARED WITH THE BOARD. IF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED, POLICY REQUIRES THE BOARD TO OBTAIN DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND TO DETERMINE (IN THE ABSENCE OF THE INTERESTED PERSON) WHETHER A CONFLICT EXISTS. THE ORGANIZATIONS POLICIES OUTLINE A SET OF PROCEDURES FOR ADDRESSING ANY CONFLICTS THAT ARE DETERMINED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UPON REQUEST AND FILED WITH GUIDESTAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, Line 19
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt0167425
IRS990/TotalAssetsGrp/BOYAmt041192
IRS990/TotalAssetsGrp/EOYAmt0167425
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt055708
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt04000
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt062233
IRS990/TotalFunctionalExpensesGrp/TotalAmt066233
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt01638
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt01638
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt041192
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0165787
IRS990/TotalProgramServiceExpensesAmt062233
IRS990/TotalProgramServiceRevenueAmt0135120
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0135120
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0190828
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt041192
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0167425
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO Box 772
IRS990/USAddress/CityNm0Newberg
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd097132
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0WWW.ROTA-DENT.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DANIEL KEULER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-04-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Mission Dental Foundation Inc
ReturnHeader/Filer/BusinessNameControlTxt0MISS
ReturnHeader/Filer/EIN0010731775
ReturnHeader/Filer/PhoneNum05035372756
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 772
ReturnHeader/Filer/USAddress/CityNm0Newberg
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097132

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