Civic Intelligence

Arizona Community Dental Clinic

EIN 46-0715037 • 501(c)3 • Scottsdale, AZ

Profile

The arizona community dental clinic provides vital dental care for seniors, individuals with a special need or who are medically compromised, and working poor families falling within 200% of the federal poverty level. Because when you save teeth, you save lives.

3193 North Drinkwater BoulevardScottsdale, AZ 85251

www.acdcdental.org

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

15th percentile

-46%

Higher net margin than 15% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

96th percentile

$72,904

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 42.9% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

91st percentile

98%

Faster revenue growth than 91% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $81,296 (-100%) from 2016

Liabilities

Down

$0

Down $2,901 (-100%) from 2016

Net Assets

Down

$0

Down $78,395 (-100%) from 2016

Revenue

Up

$169,776

Up $84,040 (+98%) from 2016

Expenses

Up

$248,171

Up $67,462 (+37%) from 2016

Net Income

Up

-$78,395

Up $16,578 (+17%) from 2016

Trend Graphs

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2012: $126,459Liabilities 2012: $48,6212012Assets 2013: $208,071Liabilities 2013: $13,536Net Assets 2013: $194,5352013Assets 2014: $197,811Liabilities 2014: $1,786Net Assets 2014: $196,0252014Assets 2015: $176,646Liabilities 2015: $3,278Net Assets 2015: $173,3682015Assets 2016: $81,296Liabilities 2016: $2,901Net Assets 2016: $78,3952016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$300K$200K$100K$0-$100KRevenue 2012: $130,829Expenses 2012: $52,991Net Income 2012: $77,8382012Revenue 2013: $250,449Expenses 2013: $133,752Net Income 2013: $116,6972013Revenue 2014: $210,617Expenses 2014: $209,127Net Income 2014: $1,4902014Revenue 2015: $200,333Expenses 2015: $222,990Net Income 2015: -$22,6572015Revenue 2016: $85,736Expenses 2016: $180,709Net Income 2016: -$94,9732016Revenue 2017: $169,776Expenses 2017: $248,171Net Income 2017: -$78,3952017

Highlighted filing

2017

Revenue$169,776
Expenses$248,171
Net Income-$78,395

Filings

Latest Detailed Filing

The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Oct 5, 2016
Return Version
2015v2.1
Gross Receipts
$306,144
Mission and Program Overview

Mission

The arizona community dental clinic provides vital dental care for seniors, individuals with a special need or who are medically compromised, and working poor families falling within 200% of the federal poverty level. Because when you save teeth, you save lives.

Provide charitable dentistry programs to children, seniors and adults with special needs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$110,952$111,894▲ $942
Land, Buildings, and Equipment, Net$34,646$30,324▼ $4,322
Pledges and Grants Receivable$37,125$25,000▼ $12,125
Prepaid Expenses and Deferred Charges$5,885$6,126▲ $241
Accounts Receivable$5,185--
Inventories for Sale or Use-$2,665-
Total Assets$197,811$176,646▼ $21,165
Other Assets Total$4,018$637▼ $3,381
Liabilities
Accounts Payable and Accrued Expenses$1,786$3,278▲ $1,492
Total Liabilities$1,786$3,278▲ $1,492
Net Assets / Fund Balance
Unrestricted Net Assets$153,031$89,324▼ $63,707
Temporarily Rstr Net Assets$42,994$84,044▲ $41,050
Total Net Assets Fund Balance$196,025$173,368▼ $22,657
Total Liabilities and Net Assets / Fund Balance$197,811$176,646▼ $21,165

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$30,324$21,141$51,465
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Virginia FroncekExecutive DirectorPT$16,194$53,054$69,248

Board Members and Trustees

NameTitle
Dr Michael SmithChair
Anca BecBoard Member
Dr Christopher MunkelBoard Member
Dr Jack BuhrowBoard Member
Dr Michael LebowitzBoard Member
Dr Wayne CottamBoard Member
Fred HeppnerBoard Member
Sarah ChiuppiBoard Member
Dr David DodellSecretary
Dr Charlie ClarkTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$231,459
Program Service Revenue
$18,003
Investment Income
$147
Other Revenue
$-49,276
All Other Contributions
$86,593
Change in Net Assets
$-22,657

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies1$53,108Cost
Other Non Cash Contri Table109$26,035Fair Market Value
Total Noncash Contributions110$79,143-

Audited Revenue Reconciliation

Revenue per Audited Statements
$143,983
Revenue Not Reported on Financial Statements
$56,350
Revenue Not Reported on Form 990
$338,680
Other Revenue Adjustments
$56,350
Total Revenue per Audited Statements
$482,663
Total Revenue per Form 990
$200,333
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$146,953
Salaries, Compensation, and Employee Benefits$76,037
Total Fundraising Expense$30,759
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,909$18,269$19,544$46,722
Occupancy$24,051--$24,051
Current Officers, Directors, Trustees, and Key Employees$13,850$1,731$1,731$17,312
Office Expenses$7,831$7,673-$15,504
Depreciation Depletion$14,321--$14,321
Insurance$5,374$3,532-$8,906
Other Employee Benefits--$6,240$6,240
Payroll Taxes$2,048$1,800$1,915$5,763
Information Technology$1,737-$1,329$3,066
Fees for Services Accounting-$1,850-$1,850
Other Expenses$135--$135
Fees for Services Legal-$100-$100
Total Functional Expenses$157,276$34,955$30,759$222,990

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$546,370
Expenses Not Reported on Form 990$323,380
Expenses per Audited Statements$222,990
Total Expenses per Form 990$222,990
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$105,811
Fundraising Gross Income$56,535
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Dance for Dental$127,732$42,233$37,595$4,638
Walls of Wine$20,561$14,302$9,255$5,047
Total Events$148,293$56,535$105,811$-49,276
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7A

Board nominations and removals require approval of the arizona dental foundation.

Form 990, Part VI, Section A, Line 7B

Major financial decisions require approval of the arizona dental foundation.

Form 990, Part VI, Section B, Line 11

Each volunteer serving on the board of directors is sent an electronic version of the taxes and provided two weeks to review and respond prior to final submission.

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

The organization has a conflict of interest policy that applies to all board members and officers. Each individual is required to annually sign a statement indicating any conflicts of interest. If a new conflict arises, the individual is required to disclose the conflict. If an individual has a conflict, they are required to leave the room or are excluded from the meeting.

Form 990, Part VI, Section B, Line 15

The executive director's compensation is reviewed and approved by the board of directors of the arizona dental foundation, which includes the executive director of the arizona dental association. This review includes comparison to a salary survey and contemporaneous documentation.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Arizona Community Dental Clinic
EIN
46-0715037
Phone
6022543822
Address
3193 NORTH DRINKWATER BOULEVARD, SCOTTSDALE, AZ 85251

Signing Officer

Name
Virginia Froncek
Title
Executive Director
Phone
6022543822
Signed
2016-10-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Virginia Froncek
Formed
2012
Legal Domicile
Az
Voting Board Members
10
Independent Board Members
10
Employees
0
Volunteers
53

Preparer

Firm
Cliftonlarsonallen Llp
Address
20 E THOMAS RD STE 2300, PHOENIX, AZ 85012
Preparer
Jacqueline Eckman CPA
Phone
6022662248
Supplemental Narrative

Additional Explanations

FORM 990, PART V, LINE 2B:

The clinic's employees are paid by the arizona dental association (azda) who operates as the common paymaster for the clinic and who issues the w-2's. Since azda issues the w-2's in their name and under their id number, 0 w-2's are shown as issued by the clinic in part v, line 2a. Pursuant to the 990 instructions, the clinic reports the wages paid by azda in part vii and part ix as if they were paid by the clinic.

Financial Statement Notes

PART X, LINE 2:

The organization follows the accounting standard for uncertain tax positions. As of december 31, 2015, the organization recognized no liability for uncertain tax positions.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Net assets released from restriction 15,300.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Temporarily restricted grants 56,350.

Raw XML AppendixShowing 400 of 513 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/OtherExpensesGrp/Desc2OTHER MISCELLANEOUS
IRS990/OtherExpensesGrp/ProgramServicesAmt063660
IRS990/OtherExpensesGrp/ProgramServicesAmt115360
IRS990/OtherExpensesGrp/ProgramServicesAmt2135
IRS990/OtherExpensesGrp/TotalAmt063660
IRS990/OtherExpensesGrp/TotalAmt115360
IRS990/OtherExpensesGrp/TotalAmt2135
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt019544
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt018269
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt08909
IRS990/OtherSalariesAndWagesGrp/TotalAmt046722
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/FundraisingAmt01915
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt01800
IRS990/PayrollTaxesGrp/ProgramServicesAmt02048
IRS990/PayrollTaxesGrp/TotalAmt05763
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt037125
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt025000
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt05885
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt06126
IRS990/PrincipalOfficerNm0VIRGINIA FRONCEK
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/Desc0CHARITY PROGRAM INCOME
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt018003
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt018003
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0196817
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt056
IRS990/PYOtherExpensesAmt0148288
IRS990/PYOtherRevenueAmt0-5861
IRS990/PYProgramServiceRevenueAmt019605
IRS990/PYRevenuesLessExpensesAmt01490
IRS990/PYSalariesCompEmpBnftPaidAmt060839
IRS990/PYTotalExpensesAmt0209127
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0210617
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-22657
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RelatedOrganizationsAmt053108
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt018003
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0231459
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0196817
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0248977
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0130825
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0808078
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0147
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt056
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt035
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt04
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0242
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0129655
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt0653438
IRS990ScheduleA/SubstantialContributorsTotAmt0154640
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0231459
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0196817
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0248977
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0130825
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0808078
IRS990ScheduleA/TotalSupportAmt0808320
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
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt0323380
IRS990ScheduleD/DonatedServicesUseFcltsAmt0323380
IRS990ScheduleD/EquipmentGrp/BookValueAmt030324
IRS990ScheduleD/EquipmentGrp/DepreciationAmt021141
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt051465
IRS990ScheduleD/ExpensesNotReportedAmt0323380
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0222990
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherRevenueAmt015300
IRS990ScheduleD/OtherRevenuesNotIncludedAmt056350
IRS990ScheduleD/RevenueNotReportedAmt0338680
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt056350
IRS990ScheduleD/RevenueSubtotalAmt0143983
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR UNCERTAIN TAX POSITIONS. AS OF DECEMBER 31, 2015, THE ORGANIZATION RECOGNIZED NO LIABILITY FOR UNCERTAIN TAX POSITIONS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1NET ASSETS RELEASED FROM RESTRICTION 15,300.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2TEMPORARILY RESTRICTED GRANTS 56,350.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt030324
IRS990ScheduleD/TotalExpensesPerForm990Amt0222990
IRS990ScheduleD/TotalRevenuePerForm990Amt0200333
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0482663
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0546370
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt091758
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt085499
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt06259
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt0105811
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0DANCE FOR DENTAL
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0WALLS OF WINE
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0127732
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt020561
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0148293
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt042233
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt014302
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt056535
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-49276
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt019733
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt06302
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt026035
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt046850
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt037595
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt09255
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt032926
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt032926
IRS990/ScheduleJRequiredInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/ContributionCnt01
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/MethodOfDeterminingRevenuesTxt0COST
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/NonCashCheckboxInd0X
IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/NoncashContributionsRptF990Amt053108
IRS990ScheduleM/Form8283ReceivedCnt00
IRS990ScheduleM/OtherNonCashContriTableGrp/ContributionCnt0109
IRS990ScheduleM/OtherNonCashContriTableGrp/Desc0FUNDRAISING EVENT ITEMS
IRS990ScheduleM/OtherNonCashContriTableGrp/MethodOfDeterminingRevenuesTxt0FAIR MARKET VALUE
IRS990ScheduleM/OtherNonCashContriTableGrp/NonCashCheckboxInd0X
IRS990ScheduleM/OtherNonCashContriTableGrp/NoncashContributionsRptF990Amt026035
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd01
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CLINIC'S EMPLOYEES ARE PAID BY THE ARIZONA DENTAL ASSOCIATION (AZDA) WHO OPERATES AS THE COMMON PAYMASTER FOR THE CLINIC AND WHO ISSUES THE W-2'S. SINCE AZDA ISSUES THE W-2'S IN THEIR NAME AND UNDER THEIR ID NUMBER, 0 W-2'S ARE SHOWN AS ISSUED BY THE CLINIC IN PART V, LINE 2A. PURSUANT TO THE 990 INSTRUCTIONS, THE CLINIC REPORTS THE WAGES PAID BY AZDA IN PART VII AND PART IX AS IF THEY WERE PAID BY THE CLINIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD NOMINATIONS AND REMOVALS REQUIRE APPROVAL OF THE ARIZONA DENTAL FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MAJOR FINANCIAL DECISIONS REQUIRE APPROVAL OF THE ARIZONA DENTAL FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EACH VOLUNTEER SERVING ON THE BOARD OF DIRECTORS IS SENT AN ELECTRONIC VERSION OF THE TAXES AND PROVIDED TWO WEEKS TO REVIEW AND RESPOND PRIOR TO FINAL SUBMISSION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL BOARD MEMBERS AND OFFICERS. EACH INDIVIDUAL IS REQUIRED TO ANNUALLY SIGN A STATEMENT INDICATING ANY CONFLICTS OF INTEREST. IF A NEW CONFLICT ARISES, THE INDIVIDUAL IS REQUIRED TO DISCLOSE THE CONFLICT. IF AN INDIVIDUAL HAS A CONFLICT, THEY ARE REQUIRED TO LEAVE THE ROOM OR ARE EXCLUDED FROM THE MEETING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OF THE ARIZONA DENTAL FOUNDATION, WHICH INCLUDES THE EXECUTIVE DIRECTOR OF THE ARIZONA DENTAL ASSOCIATION. THIS REVIEW INCLUDES COMPARISON TO A SALARY SURVEY AND CONTEMPORANEOUS DOCUMENTATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART V, LINE 2B:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION C, LINE 19

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