2023-09-08T07:10:51-05:00 2022-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990PF 2022-01-01 860842694 DELTA DENTAL PLAN OF ARIZONA CHARITABLE FOUNDATION AND TRUST DELT 6029383131 5656 WEST TALAVI BLVD GLENDALE AZ 85306 MARK ANDERSON CFO 6029383131 2023-09-06 1 MARK ANDERSON 999009999 1 DAVID LOWENTHAL P00378651 3122071040 2023-09-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X 3134968 X 457707 916 916 87285 87285 124479 1681385 124479 670387 212680 0 0 0 0 0 3460 1730 0 1730 6500 0 0 0 3769 0 0 565 2203 0 0 1212 240754 2292 0 227431 256686 4022 0 230938 1153920 1153920 1410606 4022 0 1384858 -740219 208658 0 359614 102662 102662 76039 116090 116090 17794 16279 16279 3000 5000 5000 2865549 1903311 1903311 1177021 948339 948339 63153 42262 42262 899 1025 1025 4563069 3134968 3134968 38756 32845 133 184 38889 33029 X 4524180 3101939 4524180 3101939 4563069 3134968 4524180 -740219 0 3783961 682022 3101939 NORTHERN TRUST - 9601 P 2022-12-31 1681385 1556906 124479 124479 124479 2900 0 2900 0 2900 4561 0 1000 0 5561 0 2661 2661 0 0 0 0 0 0 0 0 0 0 0 1 1 AZ 1 0 0 0 0 1 WWW.DELTADENTALAZ.COM/FOUNDATION MARK ANDERSON 6029383131 5656 WEST TALAVI BLVD GLENDALE AZ 85306 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL JONES 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 CHAIRMAN 2.00 0 0 0 MELANIE S HULL DDS MAGD 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 SECRETARY/TREASURER 1.00 0 0 0 SHAHARYAR ASHRAF DDS 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 DIRECTOR 1.00 0 0 0 LAILA HISHAW DDS 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 DIRECTOR 1.00 0 0 0 BRUCE A SPIGNER DDS PC 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 DIRECTOR 1.00 0 0 0 JULIA WACLOFF 5656 WEST TALAVI BOULEVARD GLENDALE AZ 85306 DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 PROMOTING ORAL HEALTH BY DISTRIBUTING TOOTHBRUSHES, FLOSS, TOOTHPASTE AND EDUCATIONAL MATERIALS. IMPROVES ORAL HEALTH IN THE STATE OF ARIZONA BY GIVING GRANTS, EQUIPMENT AND SUPPLIES FOR NONPROFIT DENTAL CLINICS, SCHOOLS AND ORGANIZATIONS TO HELP UNDER-SERVED POPULATIONS ACCESS DENTAL CARE. 230938 0 3265543 299020 0 3564563 0 0 3564563 53468 3511095 175555 175555 2900 2900 172655 0 172655 0 172655 1384858 0 1384858 172655 0 0 436020 930845 767593 1543460 1200917 4878835 1384858 0 0 0 172655 1212203 0 0 6091038 0 0 0 0 0 0 436020 5655018 930845 767593 1543460 1200917 1212203 BARB KOZUH 5656 W TALAVI BLVD GLENDALE AZ 85306 6025883935 DELTAFOUNDATION@DELTADENTALAZ.COM GUIDELINES ARE PROVIDED ON THE WEBSITE AT DELTADENTALAZ.COM/FOUNDATION AND THE APPLICATION QUESTIONS SHOULD BE ANSWERED IN A WORD DOCUMENT AND ACCOMPANIED BY A 501C3 LETTER OF DETERMINATION, CURRENT ORGANIZATIONAL BUDGET, LIST OF BOARD OF DIRECTORS, CURRENT 990, AND PROJECT BUDGET. SECOND THURSDAY OF OCTOBER NO LATER THAN 5 PM ARIZONA TIME. APPLICANTS MUST BE DOMICILED IN ARIZONA AND SERVE UNDER-SERVED POPULATIONS WITH PROGRAMS/PROJECTS TO IMPROVE ORAL HEALTH WITH DENTAL SERVICES, EDUCATION, SCREENINGS, EXAMS, SEALANTS AND FLUORIDE TREATMENTS. A NEW LEAF 868 E UNIVERSITY MESA AZ 85203 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 AT STILL UNIVERSITY SEALANT PROGRAM 5850 E STILL CIR MESA AZ 85206 MESA AZ 85206 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 ARIZONA DENTAL FOUNDATION 3193 N DRINKWATER BLVD SCOTTSDALE AZ 85251 NONE PUBLIC CHARITY COMMUNITY GRANT 50120 ARIZONA MISSION OF MERCY 1826 W MCDOWELL RD PHOENIX AZ 85007 NONE PUBLIC CHARITY COMMUNITY GRANT 75000 ASU FOUNDATION FOR A NEW AMERICAN UNIVERSITY PO BOX 2260 TEMPE AZ 85280 NONE PUBLIC CHARITY COMMUNITY GRANT 150000 BOYS & GIRLS CLUB OF THE VALLEY 4309 E BELLEVIEW ST BLDG 14 PHOENIX AZ 85008 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 CHILDREN MUSEUM OF PHOENIX 215 N 7TH STREET PHOENIX AZ 85034 NONE PUBLIC CHARITY COMMUNITY GRANT 37000 COCONINO COUNTY COOPERATIVE EXTENSION 2304 N 3RD ST FLAGSTAFF AZ 860043605 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 DENTAL LIFELINE NETWORK 1800 15TH STREET SUITE 100 DENVER CO 80202 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 DESERT SENITA DENTAL CLINIC 410 N MALACATE STREET AJO AZ 85321 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 DIGNITY HEALTH FOUNDATION 1727 W FRYE ROAD 230 CHANDLER AZ 85224 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 EL RIO HEALTH CENTER FOUNDATION 839 W CONGRESS TUCSON AZ 85745 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 ESPERANCA 1911 W EARLL DRIVE PHOENIX AZ 85015 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 FLAGSTAFF MEDICAL CENTER CHILDREN'S HEALTH CENTER 753 N MAIN ST STE A COTTONWOOD AZ 86326 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 GILA COUNTY HEALTH & EMERGENCY MANAGEMENT 5515 S APACHE AVE SUITE 400 GLOBE AZ 85501 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 GREAT AZ PUPPET THEATER 302 W LATHAM ST PHOENIX AZ 85003 NONE PUBLIC CHARITY COMMUNITY GRANT 25000 LIVE AND LEARN PROGRAM 326 E CORONADO RD PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 12000 MARANA COMMUNITY HEALTH CENTER 13395 N MARANA MAIN ST MARANA AZ 85653 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 MOUNTAIN PARK CHC 2702 N THIRD STREET 4020 PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 NATIONAL KIDNEY FOUNDATION ARIZONA 360 E CORONADO RD SUITE 180 PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 NDA SPONSORSHIP 3060 MITCHELLVILLE ROAD SUITE 215 BOWIE MD 20716 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 NORTH COUNTRY HEALTH CARE PO BOX 3630 FLAGSTAFF AZ 86003 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 NORTHERN ARIZONA COUNCIL OF GOV HEAD START PROGRAM 119 E ASPEN AVE FLAGSTAFF AZ 86001 NONE PUBLIC CHARITY COMMUNITY GRANT 24800 PHOENIX RESCUE MISSION 1540 W VAN BUREN ST PHOENIX AZ 85007 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 RIVER CITIES UNITED WAY PO BOX 966 LAKE HAVASU CITY AZ 86405 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 SENIOR CITIZENS OF PATAGONIA PO BOX 1121 100 QUIROGA LANE PATAGONIA AZ 85624 NONE PUBLIC CHARITY COMMUNITY GRANT 5000 SOUTHWEST HUMAN DEVELOPMENT 2850 N 24TH STREET PHOENIX AZ 85008 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 ST VINCENT DE PAUL PO BOX 13600 PHOENIX AZ 850023600 NONE PUBLIC CHARITY COMMUNITY GRANT 100000 SUN LIFE FAMILY HEALTH CENTER PO BOX 10097 CASA GRANDE AZ 85130 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 SUNSET COMMUNITY HEALTH CENTER PO BOX 538 SOMERTON AZ 85350 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 TOHONO O'ODHAM NATIONAL PO BOX 837 SELLS AZ 85634 NONE PUBLIC CHARITY COMMUNITY GRANT 25000 TOOTH BUDDS PO BOX 937 PIMA AZ 85543 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 UNITED COMMUNITY HEALTH CENTER 1260 S CAMPBELL AVE BLDG 2 GREEN VALLEY AZ 85614 NONE PUBLIC CHARITY COMMUNITY GRANT 25000 VALLEYWISE HEALTH FOUNDATION 2901 E CAMELBACK RD STE 202 PHOENIX AZ 85016 NONE PUBLIC CHARITY COMMUNITY GRANT 25000 VERDE VALLEY MEDICAL CENTER 269 S CANDY LN COTTONWOOD AZ 86326 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 1153920 0 14 916 14 87285 18 124479 0 212680 0 212680 0 0 0 0 0 0 0 0 1 1c 208354 ARIZONA DENTAL INSURANCE SERVICE INC ARIZONA DENTAL INSURANCE SERVICE, INC. PROVIDES THE ORGANIZATION FREE USE OF FACILITIES, OFFICE EQUIPMENT AND STAFF. 1 ARIZONA DENTAL INSURANCE SERVICE INC 501(C)(4) UP TO 4 COMMON BOARD MEMBERS AND PRESIDENT/CEO X X 1 DELTA DENTAL OF ARIZONA 5656 W TALAVI BLVD GLENDALE AZ 85306 414946 X ACCOUNTING 3460 1730 0 1730 CORPORATE BONDS 948339 948339 CORPORATE STOCK 1903311 1903311 OTHER AT COST 42262 42262 INTEREST RECEIVABLE 899 1025 1025 UNREALIZED LOSS 682022 DUES AND SUBSCRIPTIONS 5799 0 0 1680 PROMOTION 1005 0 0 1005 POSTAGE 3071 0 0 3071 BANK CHARGES 6663 2292 0 4371 BOARD EXP AND OTHER ADMIN 2570 0 0 0 TRAINING AND SEMINARS 1683 0 0 0 SUPPLIES 2596 0 0 0 DENTAL SUPPLIES DONATION 215530 0 0 215530 OTHER EXPENSES 1774 0 0 1774 MEALS AND ENTERTAINMENT 63 0 0 0 DUE TO DDAZ - PAYABLE 133 184 TAXES 6500 0 0 0