Civic Intelligence

Springrock Dental Inc

EIN 47-5247650 • 501(c)3 • Centennial, CO

Profile

To improve the oral health of coloradans by providing oral healthcare access to underserved coloradans.

6465 Greenwood Plaza Blvd No 90Centennial, CO 80111

n/A

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 2019

Liabilities / Revenue

35th percentile

0.00x

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

501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

6th percentile

-61%

Higher net margin than 6% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

99th percentile

$628,458

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 84.5% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

74th percentile

31%

Faster revenue growth than 74% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Down

$0

Down $778,759 (-100%) from 2018

Liabilities

Down

$0

Down $322,112 (-100%) from 2018

Net Assets

Down

$0

Down $456,647 (-100%) from 2018

Revenue

Up

$743,838

Up $174,497 (+31%) from 2018

Expenses

Up

$1,200,485

Up $192,872 (+19%) from 2018

Net Income

Down

-$456,647

Down $18,375 (-4.2%) from 2018

Trend Graphs

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2015: $1,065,724Liabilities 2015: $299,184Net Assets 2015: $766,5402015Assets 2016: $1,052,627Liabilities 2016: $60,376Net Assets 2016: $992,2512016Assets 2017: $908,904Liabilities 2017: $114,627Net Assets 2017: $794,2772017Assets 2018: $778,759Liabilities 2018: $322,112Net Assets 2018: $456,6472018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2019

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2015: $1,005,240Expenses 2015: $238,700Net Income 2015: $766,5402015Revenue 2016: $1,384,111Expenses 2016: $1,158,400Net Income 2016: $225,7112016Revenue 2017: $1,011,377Expenses 2017: $1,209,351Net Income 2017: -$197,9742017Revenue 2018: $569,341Expenses 2018: $1,007,613Net Income 2018: -$438,2722018Revenue 2019: $743,838Expenses 2019: $1,200,485Net Income 2019: -$456,6472019

Highlighted filing

2019

Revenue$743,838
Expenses$1,200,485
Net Income-$456,647

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 13, 2020
Return Version
2019v5.1
Gross Receipts
$743,838
Mission and Program Overview

Mission

To improve the oral health of coloradans by providing oral healthcare access to underserved coloradans.

To improve the oral health of coloradans by providing oral healthcare access to underserved.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$651,546$0▼ $651,546
Rtn Earn Endowment Incm Other Fnds$456,647$0▼ $456,647
Accounts Receivable$106,203$0▼ $106,203
Cash and Non-Interest-Bearing Accounts$21,010$0▼ $21,010
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-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$778,759$0▼ $778,759
Liabilities
Other Liabilities$307,292$0▼ $307,292
Accounts Payable and Accrued Expenses$14,820$0▼ $14,820
Total Liabilities$322,112$0▼ $322,112
Net Assets / Fund Balance
Total Net Assets Fund Balance$456,647$0▼ $456,647
Total Liabilities and Net Assets / Fund Balance$778,759$0▼ $778,759

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$0$509,707$509,707
Equipment$0$347,634$347,634
Other Land Buildings$0$32,235$32,235
Compensation and Service Providers

Employees

NameTitleOtherTotal
Walt Vogl DdsDirector$34,594$34,594

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$628,603
Program Service Revenue
$115,225
Investment Income
$10
Other Revenue
$0
Change in Net Assets
$-456,647
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$950,439
Salaries, Compensation, and Employee Benefits$250,046
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$651,546--$651,546
Other Salaries and Wages$233,803--$233,803
Occupancy$107,121--$107,121
Other Expenses$65,020--$65,020
Fees for Services Other-$61,920-$61,920
Information Technology$16,575$7,104-$23,679
Office Expenses$10,468$4,486-$14,954
Payroll Taxes$14,432--$14,432
Insurance$11,204--$11,204
Advertising$8,060--$8,060
Fees for Services Accounting-$5,493-$5,493
Other Employee Benefits$1,811--$1,811
Fees for Services Legal-$1,122-$1,122
All Other Expenses-$320-$320
Total Functional Expenses$1,120,040$80,445$0$1,200,485
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
Yes
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
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Lori bowman-falce oversees all operations of the dental practice.

Form 990, Part VI, Section A, Line 6

The corporation shall have a single corporate member, delta dental of colorado.

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

The board will have five directors. At all times, three directors of the board shall be the individuals serving delta dental of colorado in the following or most similar capacities: chief executive officer, chief financial officer, and a member of the delta dental colorado board of trustees. The board will appoint two independent directors, each of whom will serve a three year term. The board shall determine what compensation, if any, should be paid to individual directors serving on the board.

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

Certain matters of the organization are subject to a vote of the directors. A majority of the directors in office shall constitute a quorum.

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

The organization engages a cpa tax professional to prepare form 990. The board generally feels this is the appropriate fiduciary process. The board also evaluates the firm hired to prepare the return and to determine it is appropriately filed. A draft of form 990 is presented to the board for review prior to being filed with the irs. Once the board approves form 990, it is filed with the irs.

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

The completed annual conflict of interest statements are maintained by the chair of the board, who ensures that board members excuse themselves from voting on any maters for which there is a conflict of interest.

Form 990, Part VI, Section C, Line 19

Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in section 6104(d).

Filing and Contact Details

Filer

Filer Name
Springrock Dental Inc
EIN
47-5247650
Phone
3038898621
Address
6465 GREENWOOD PLAZA BLVD NO 90, CENTENNIAL, CO 80111

Signing Officer

Name
Gregory C Vochis
Title
CFO/treasurer
Phone
3038898621
Signed
2020-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Helen W Drexler
Formed
2015
Legal Domicile
Co
Voting Board Members
5
Independent Board Members
2
Employees
8
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL WEST TOWER STE, 1100, MINNEAPOLIS, MN 55402-2526
Preparer
Kacie Mcewen
Phone
6123324300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

The organization ceased operations during 2019 and dissolved the corporation, effective december 31, 2019. Around december 1, 2019 my local colorado dentist llc d/b/a peak dental assumed the lease and in return received all the fixed assets and leasehold improvements.

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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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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt01
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt01
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0115235
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0569340
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0361377
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0184111
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt05240
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01235303
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt01
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt01
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt01235303
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt0628603
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt0650000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt01200000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt01000000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt03478603
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0743838
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0569340
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt01011377
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt01384111
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt01005240
IRS990ScheduleA/Total509Grp/TotalAmt04713906
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0743838
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0569341
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt01011377
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt01384111
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt01005240
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt04713907
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/EquipmentGrp/BookValueAmt00
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0347634
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0347634
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0509707
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0509707
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt032235
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt032235
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd01
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd01
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0600021
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1380911
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt018500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt115715
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt07615
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt16999
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt02322
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt1393
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0HELEN WEISS DREXLER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1GREGORY C VOCHIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0BOARD CHAIR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CFO/TREASURER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0628458
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1404018
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0COLORADO DENTAL SERVICE, INC., A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THESE METHODS WERE USED BY THE RELATED ORGANIZATION TO ESTABLISH COMPENSATION FOR THE SPRINGROCK DENTAL CEO.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1COLORADO DENTAL SERVICE, INC., A RELATED ORGANIZATION, HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS INCLUDING A MINIMUN NET GAIN GOAL. ALL ACTIVE FULL TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS. THE COMPANY ALSO HAS A LONG-TERM INCENTIVE PROGRAM FOR EXECUTIVES, WHICH IS BASED ON BOTH A MEMBERSHIP GROWTH AND RETURN ON REVENUE FACTOR. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2019 THE PLAN ENDING DECEMBER 31, 2018 WAS PAID.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2SEE NARRATIVE FOR LINE 5A ABOVE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 5
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2PART I, LINE 6
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleN/DirectorOfSuccessor2Ind00
IRS990ScheduleN/DispositionOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0FIXED ASSETS - DENTAL EQUIPMENT/FURNITURE & FIXTURES/OFFICE EQUIPMENT/LEASEHOLD SPACE
IRS990ScheduleN/DispositionOfAssetsDetail/BusinessName/BusinessNameLine1Txt0MY LOCAL DENTIST LLC DBA PEAK DENTAL
IRS990ScheduleN/DispositionOfAssetsDetail/DistributionDt02019-12-01
IRS990ScheduleN/DispositionOfAssetsDetail/FairMarketValueOfAssetAmt0541566
IRS990ScheduleN/DispositionOfAssetsDetail/IRCSectionTxt0LLC
IRS990ScheduleN/DispositionOfAssetsDetail/MethodOfFMVDeterminationTxt0BOOK VALUE
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/AddressLine1Txt06110 BARNES RD
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/CityNm0COLORADO SPRINGS
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/StateAbbreviationCd0CO
IRS990ScheduleN/DispositionOfAssetsDetail/USAddress/ZIPCd080922
IRS990ScheduleN/EmployeeOfSuccessor2Ind00
IRS990ScheduleN/OwnerOfSuccessor2Ind00
IRS990ScheduleN/ReceiveCompensation2Ind00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION CEASED OPERATIONS DURING 2019 AND DISSOLVED THE CORPORATION, EFFECTIVE DECEMBER 31, 2019. AROUND DECEMBER 1, 2019 MY LOCAL COLORADO DENTIST LLC D/B/A PEAK DENTAL ASSUMED THE LEASE AND IN RETURN RECEIVED ALL THE FIXED ASSETS AND LEASEHOLD IMPROVEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1LORI BOWMAN-FALCE OVERSEES ALL OPERATIONS OF THE DENTAL PRACTICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CORPORATION SHALL HAVE A SINGLE CORPORATE MEMBER, DELTA DENTAL OF COLORADO.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD WILL HAVE FIVE DIRECTORS. AT ALL TIMES, THREE DIRECTORS OF THE BOARD SHALL BE THE INDIVIDUALS SERVING DELTA DENTAL OF COLORADO IN THE FOLLOWING OR MOST SIMILAR CAPACITIES: CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND A MEMBER OF THE DELTA DENTAL COLORADO BOARD OF TRUSTEES. THE BOARD WILL APPOINT TWO INDEPENDENT DIRECTORS, EACH OF WHOM WILL SERVE A THREE YEAR TERM. THE BOARD SHALL DETERMINE WHAT COMPENSATION, IF ANY, SHOULD BE PAID TO INDIVIDUAL DIRECTORS SERVING ON THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4CERTAIN MATTERS OF THE ORGANIZATION ARE SUBJECT TO A VOTE OF THE DIRECTORS. A MAJORITY OF THE DIRECTORS IN OFFICE SHALL CONSTITUTE A QUORUM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATION ENGAGES A CPA TAX PROFESSIONAL TO PREPARE FORM 990. THE BOARD GENERALLY FEELS THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD ALSO EVALUATES THE FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. A DRAFT OF FORM 990 IS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO BEING FILED WITH THE IRS. ONCE THE BOARD APPROVES FORM 990, IT IS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE COMPLETED ANNUAL CONFLICT OF INTEREST STATEMENTS ARE MAINTAINED BY THE CHAIR OF THE BOARD, WHO ENSURES THAT BOARD MEMBERS EXCUSE THEMSELVES FROM VOTING ON ANY MATERS FOR WHICH THERE IS A CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0COLORADO DENTAL SERVICE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0COLORADO DENTAL SERVICE INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt1DELTA DENTAL PLAN OF COLORADO FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0840568337

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