2023-10-23T11:21:01-05:00 2022-12-31 830331229 MCGEE HEARNE & PAIZ LLP PO BOX 1088 CHEYENNE WY 82003 990PF 2022-01-01 300799719 WYOMING DELTA DENTAL FOUNDATION WYOM 3076323313 6705 FAITH DRIVE CHEYENNE WY 82009 PATRICIA GUZMAN PRESIDENT/CEO 3076323313 2023-09-29 1 PATRICIA GUZMAN 999009999 0 STEPHANIE R PICKERING P02156038 3076342151 2023-09-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X 2048369 X 400670 34162 34162 34162 -45588 485672 0 0 11510 0 11510 400754 34162 45672 0 0 0 0 17664 17664 17664 0 775 775 775 0 7190 7190 7160 0 8030 5972 8030 0 33659 31601 33629 0 408043 408043 441702 31601 33629 408043 -40948 2561 12043 123642 183623 183623 215555 74126 74126 402147 450000 402147 402147 237876 193243 193243 314402 295696 295696 946953 897615 897615 1592 1919 1919 2290020 2048369 2048369 875 35208 875 35208 X 800000 1000000 1489145 1013161 2289145 2013161 2290020 2048369 2289145 -40948 0 2248197 235036 2013161 ABBVIE INC 2.9% 06 NOV 2022 P 2019-05-21 2022-11-07 25000 25000 0 0 ISHARES JP MORGAN USD EMERGING MARKETS BOND ETF P 2021-03-25 2022-11-29 13149 16898 -3749 -3749 AMERICAN EXPRESS CO 2.65% 02 DEC 2022 P 2019-05-21 2022-12-02 25000 24808 192 192 HEALTH CARE SELECT SECTOR SPDR FUND P 2018-04-05 2022-02-16 4929 3116 1813 1813 HEALTH CARE SELECT SECTOR SPDR FUND P 2018-08-17 2022-02-16 2075 1456 619 619 INDUSTRIAL SELECT SECTOR SPDR FUND P 2020-04-14 2022-03-09 2569 1628 941 941 INDUSTRIAL SELECT SECTOR SPDR FUND P 2020-11-10 2022-03-09 494 422 72 72 ISHARES PREFERRED & INCOME SECURITIES ETF P 2020-08-21 2022-03-14 38454 39960 -1506 -1506 ISHARES PREFERRED & INCOME SECURITIES ETF P 2021-02-03 2022-03-14 6720 7258 -538 -538 ISHARES PREFERRED & INCOME SECURITIES ETF P 2021-05-24 2022-03-14 15903 17487 -1584 -1584 ISHARES PREFERRED & INCOME SECURITIES ETF P 2022-01-03 2022-03-14 26739 29821 -3082 -3082 VANGUARD HIGH-YIELD CORPORATE FUND P 2021-05-24 2022-04-28 18000 19387 -1387 -1387 EATON VANCE FLOATING-RATE FUND P 2020-11-19 2022-04-28 16000 15945 55 55 NORTHERN ULTRA-SHORT FIXED INCOME FUND P 2021-07-29 2022-08-08 813 841 -28 -28 NORTHERN ULTRA-SHORT FIXED INCOME FUND P 2022-01-03 2022-08-08 19492 20000 -508 -508 NORTHERN ULTRA-SHORT FIXED INCOME FUND P 2022-01-03 2022-08-08 58285 60000 -1715 -1715 VANGUARD HIGH-YIELD CORPORATE FUND P 2021-05-24 2022-09-14 33297 38036 -4739 -4739 VANGUARD HIGH-YIELD CORPORATE FUND P 2019-07-05 2022-09-14 18012 20332 -2320 -2320 VANGUARD HIGH-YIELD CORPORATE FUND P 2019-12-24 2022-09-14 26131 30000 -3869 -3869 EATON VANCE FLOATING-RATE FUND P 2020-11-19 2022-09-21 31333 32618 -1285 -1285 EATON VANCE FLOATING-RATE FUND P 2021-05-24 2022-09-21 16683 17690 -1007 -1007 EATON VANCE FLOATING-RATE FUND P 2022-03-09 2022-09-21 14409 15000 -591 -591 FACEBOOK INC/META P 2017-04-25 2022-11-11 1809 147 1662 1662 FACEBOOK INC/META P 2018-04-05 2022-11-11 1591 -1591 -1591 FACEBOOK INC/META P 2021-05-24 2022-11-11 1625 -1625 -1625 FINANCIAL SELECT SECTOR SPDR FUND P 2018-04-05 2022-11-11 4960 280 4680 4680 FINANCIAL SELECT SECTOR SPDR FUND P 2018-11-02 2022-11-11 1590 -1590 -1590 FINANCIAL SELECT SECTOR SPDR FUND P 2020-05-06 2022-11-11 1456 -1456 -1456 COMMUNICATION SERVICES SELECT SECTOR SPDR FUND P 2018-08-17 2022-11-11 3504 3344 160 160 COMMUNICATION SERVICES SELECT SECTOR SPDR FUND P 2019-06-03 2022-11-11 47 -47 -47 ENERGY SELECT SECTOR SPDR FUND P 2020-05-06 2022-11-14 3250 1275 1975 1975 ISHARES CHINA LARGE-CAP ETF P 2021-12-09 2022-12-01 58662 82202 -23540 -23540 -45588 -32407 36 0 36 0 36 0 0 0 0 0 0 36 0 0 0 0 0 0 0 0 0 0 0 1 WY 0 1 0 0 0 1 N/A PATRICIA GUZMAN 3076323313 6705 FAITH DRIVE CHEYENNE WY 82009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PATRICIA GUZMAN 2114 YEARLING DRIVE FORT COLLINS CO 80525 PRESIDENT 10.00 0 0 0 KERRY HALL 718 SHADOW MOUNTAIN TRAIL CHEYENNE WY 82009 VICE PRESIDENT 5.00 0 0 0 BILL GERN 1067 GRANITO DRIVE LARAMIE WY 82072 CHAIRMAN 1.00 0 0 0 DR DAN MORRISON 3631 OVERDALE DR GILLETTE WY 82718 SECRETARY/TREASURER 1.00 0 0 0 DAN HOFFMAN 810 18TH STREET STE 2 EVANSTON WY 82930 DIRECTOR 1.00 0 0 0 JEFFREY STOREY 7308 HAWTHORNE DRIVE CHEYENNE WY 82009 DIRECTOR 1.00 0 0 0 DR BRAD KINCHELOE 6244 YELLOWSTONE ROAD CHEYENNE WY 82009 DIRECTOR 1.00 0 0 0 DR BRUCE HOLWELL PO BOX 187 BIG HORN WY 82833 DIRECTOR 1.00 0 0 0 DR MARK O'FARRELL 916 DEWAR DRIVE ROCK SPRINGS WY 82901 DIRECTOR 1.00 0 0 0 DR AARON TAFF 1763 HAYFORD AVE LARAMIE WY 82072 DIRECTOR 1.00 0 0 0 DR HOLLY SCHAMBER 1211 S DOUGAS HIGHWAY STE 200 GILLETTE WY 82716 DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 TO PROVIDE A LOW COST DENTAL PROGRAM FOR WYOMING SENIORS OVER AGE 65 ON LIMITED INCOMES 346803 TO PROVIDE TOOTHBRUSHES, FLOSS AND OTHER DENTAL AIDS TO ORGANIZATIONS AND SCHOOLS SERVING THE SEGMENTS OF THE PUBLIC IN MOST NEED OF DENTAL CARE 51740 TO PROVIDE SCHOLARSHIPS TO UNIVERSITY STUDENTS WHO INTEND TO PRACTICE DENTISTRY IN THE STATE OF WYOMING 9500 0 1442893 298473 0 1741366 0 0 1741366 26120 1715246 85762 X 408043 0 408043 X 12043 0 0 0 12043 10237 0 0 0 10237 408043 0 0 0 408043 0 0 0 0 0 408043 0 0 0 408043 0 0 57175 0 0 0 57175 0 0 0 0 PATRICIA GUZMAN 6705 FAITH DRIVE CHEYENNE WY 82009 3076323313 DELTADENTALWY.ORG/FOUNDATION APPLY ONLINE DURING ENROLLMENT PERIOD. PROGRAM APPLICATION OPENS IN OCTOBER FOR THE NEXT CALENDAR YEAR. THE WYOMING SMILES SENIOR DENTAL PROGRAM IS SPONSORED BY THE WYOMING DELTA DENTAL FOUNDATION AND PROVIDES FREE DENTAL INSURANCE TO LOW-INCOME SENIORS WHO RESIDE IN THE STATE OF WYOMING. SENIORS MUST BE AGE 65 AND UP, MUST NOT HAVE ANY DENTAL INSURANCE, AND BE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE PROGRAM HAS 400 SLOTS AVAILABLE, AND ENROLLMENT WILL BE ON A FIRST COME, FIRST SERVE BASIS. ONCE THE PROGRAM IS FULL, WE WILL ESTABLISH A WAITING LIST. PATRICIA GUZMAN 6705 FAITH DRIVE CHEYENNE WY 82009 3076323313 DELTADENTALWY.ORG/FOUNDATION FILL OUT WEBSITE SUBMISSION ONLINE DELTADENTALWY.ORG/FOUNDATION N/A THROUGH OUR SMILE BAG PROGRAM WE DONATE ORAL HEALTH MATERIALS TO ORGANIZATIONS ACROSS THE STATE OF WYOMING INCLUDING SCHOOLS, CHURCHES, HOMELESS SHELTERS, ETC. SMILE BAGS INCLUDE TOOTHBRUSHES, TOOTHPASTE AND FLOSS. SMILE BAGS CAN BE REQUESTED YEAR-ROUND. PLEASE ALLOW TWO WEEKS MINIMUM PATRICIA GUZMAN 6705 FAITH DRIVE CHEYENNE WY 82009 3076323313 DELTADENTALWY.ORG/FOUNDATION FILL OUT WEBSITE SUBMISSION ONLINE DELTADENTALWY.ORG/FOUNDATION N/A THROUGH A PARTNERSHIP WITH THE WYOMING DENTAL ASSOCIATION, THE FOUNDATION PROVIDES NEW MOMS WHO HAVE A BABY IN A WYOMING HOSPITAL A NEW MOM BAG. THE BAG INCLUDES A GUM CLEANER, A TODDLER TOOTHBRUSH, AN ADULT TOOTHBRUSH AND ORAL HEALTH TIPS FOR TAKING CARE OF BABY'S TEETH. ANY WYOMING HOSPITAL THAT HAS A BIRTHING CENTER IS ELIGIBLE TO RECEIVE THE NEW MOM BAGS. PATRICIA GUZMAN 6705 FAITH DRIVE CHEYENNE WY 82009 3076323313 DELTADENTALWY.ORG/FOUNDATION CONTACT FOUNDATION FOR INFORMATION N/A THE FOUNDATION PROVIDES A $500 SCHOLARSHIP ANNUALLY TO WYOMING STUDENTS ATTENDING DENTAL SCHOOL AT THE UNIVERSITY OF NEBRASKA OR CREIGHTON UNIVERTHE FOUNDATION PROVIDES A $500 SCHOLARSHIP ANNUALLY TO WYOMING STUDENTS ATTENDING DENTAL SCHOOL AT THE UNIVERSITY OF NEBRASKA OR CREIGHTON UNIVERSITY THROUGH THE WYDENT PROGRAM. (WYOMING STUDENTS ATTENDING DENTAL SCHOOL IN OTHER STATES ARE ALSO WELCOME TO APPLY) SCHOLARSHIPS ARE AWARDED IN THE SPRING OF EACH YEAR.SITY THROUGH THE WYDENT PROGRAM. (WYOMING STUDENTS ATTENDING DENTAL SCHOOL IN OTHER STATES ARE ALSO WELCOME TO APPLY) SCHOLARSHIPS ARE AWARDED IN THE SPRING OF EACH YEAR. WYOMING ORAL & MAXILLOFACIAL SURGERY 4611 ARROYO DRIVE STE 1 CASPER WY 82604 NC GENERAL SUPPORT 2210 KEN MURPHY 526 N MAYBELL AVE PINEDALE WY 82941 I GENERAL SUPPORT 310 DENTAL LIFELINE NETWORK 1800 15TH STREET DENVER CO 80202 NC GENERAL SUPPORT 5000 7520 0 14 34162 18 -45588 01 9452 0 -1974 0 -1974 0 0 0 0 0 0 0 1 1 1c 17664 DELTA DENTAL PLAN OF WYOMING COMPENSATION FROM RELATED ORGANIZATION 1b(6) 400000 DELTA DENTAL PLAN OF WYOMING DONATION FOR FOUNDATION PROGRAMS 1 DELTA DENTAL OF WYOMING 501(C)(4) THE FOUNDATION WAS ESTABLISHED SO DELTA DENTAL COULD PROVIDE SUPPORT TO A 501(C)(3) CHARITABLE ORGANIZATION. THE FOUNDATION SPONSORS PROGRAMS THAT PREVENT DENTAL DISEASE AND ADVANCE THE SCIENCE AND PRACTICE OF DENTISTRY. DELTA DENTAL HAS NO OWNERSHIP OF THE FOUNDATION BUT DOES HAVE A CONTROLLING INTEREST VIA MAJORITY REPRESENTAION ON THE FOUNDATION'S BOARD OF DIRECTORS. IN ADDITION, DELTA DENTAL IS CONSIDERED TO HAVE AN ECONOMIC INTEREST IN THE FOUNDATION. X X 1 DELTA DENTAL PLAN OF WYOMING 6705 FAITH DRIVE CHEYENNE WY 82009 400000 X ACCOUNTING 775 775 775 0 NOT REQUIRED VANGUARD SHORT-TERM CORPORATE BOND ETF 108800 108800 WELLS FARGO & CO 3% 19 FEB 2025 47926 47926 CITIGROUP INC 3.3% 27 APR 2025 24225 24225 GOLDMAN SACHS GROUP INC/THE 3% 15 MAR2024 39018 39018 VANGUARD INTERMEDIATE-TERM CORPORATE BOND ETF 75727 75727 APPLE INC 13123 13123 ABBOTT LABORATORIES 2964 2964 AMAZON.COM INC 11844 11844 ACTIVISION BLIZZARD INC 6966 6966 AMERICAN EXPRESS CO 4728 4728 BRISTOL-MYERS SQUIBB CO 5540 5540 BERKSHIRE HATHAWAY INC 7414 7414 CITIGROUP INC 3211 3211 COMCAST CORP 3812 3812 COSTCO WHOLESALE CORP 4565 4565 SALESFORCE INC 3050 3050 CISCO SYSTEMS INC 6241 6241 WALT DISNEY CO 2954 2954 EMERSON ELECTRIC CO 3554 3554 FEDEX CORP 3291 3291 ALPHABET INC 7058 7058 GOLDMAN SACHS GROUP INC/THE 5151 5151 HONEYWELL INTERNATIONAL INC 3857 3857 INTERCONTINENTAL EXCHANGE INC 3078 3078 JPMORGAN CHASE & CO 4425 4425 LOWE'S COS INC 11357 11357 MASCO CORP 2847 2847 MCDONALD'S CORP 5271 5271 MONDELEZ INTERNATIONAL INC 6865 6865 MICROSOFT CORP 15109 15109 NIKE INC 8659 8659 PALO ALTO NETWORKS INC 4605 4605 PEPSICO INC 4155 4155 QUALCOMM INC 2529 2529 SKYWORKS SOLUTIONS INC 2825 2825 UNITEDHEALTH GROUP INC 9013 9013 UNION PACIFIC CORP 5384 5384 WALMART INC 7798 7798 DFA EMERGING MARKETS SMALL CAP PORTFOLIO FMV 31581 31581 ARTISAN HIGH INCOME FUND FMV 73507 73507 EUROPACIFIC GROWTH FUND FMV 29120 29120 FIDELITY INTERNATIONAL INDEX FUND FMV 61439 61439 GOLDMAN SACHS EMERGING MARKETS EQUITY INSIGHTS FUND FMV 36083 36083 GOLDMAN SACHS INTERNATIONAL SMALL CAP INSIGHTS FUND FMV 30765 30765 ISHARES BIOTECHNOLOGY ETF FMV 6958 6958 ISHARES CORE MSCI EUROPE ETF FMV 26743 26743 ISHARES CORE S&P MID-CAP ETF FMV 52006 52006 ISHARES CORE S&P SMALL-CAP ETF FMV 70128 70128 ISHARES CORE S&P 500 ETF FMV 45721 45721 INVESCO DEVELOPING MARKETS FUND FMV 36282 36282 INVESCO QQQ TRUST SERIES 1 FMV 72162 72162 VANGUARD EMERGING MARKETS STOCK INDEX FUND/UNITED STATES FMV 36366 36366 VANGUARD 500 INDEX FUND FMV 53769 53769 VANGUARD INTERMEDIATE-TERM TREASURY ETF FMV 108902 108902 MATERIALS SELECT SECTOR SPDR FUND FMV 6292 6292 COMMUNICATION SERVICES SELECT SECTOR SPDR FUND FMV 4991 4991 ENERGY SELECT SECTOR SPDR FUND FMV 17232 17232 FINANCIAL SELECT SECTOR SPDR FUND FMV 4720 4720 INDUSTRIAL SELECT SECTOR SPDR FUND FMV 8839 8839 TECHNOLOGY SELECT SECTOR SPDR FUND FMV 22773 22773 CONSUMER STAPLES SELECT SECTOR SPDR FUND FMV 5591 5591 REAL ESTATE SELECT SECTOR SPDR FUND FMV 6130 6130 UTILITIES SELECT SECTOR SPDR FUND FMV 5570 5570 HEALTH CARE SELECT SECTOR SPDR FUND FMV 27306 27306 CONSUMER DISCRETIONARY SELECT SECTOR SPDR FUND FMV 1421 1421 SPDR S&P SEMICONDUCTOR ETF FMV 15218 15218 OTHER ASSETS 1592 1919 1919 UNREALIZED GAIN/LOSS 235036 OTHER EXPENSES 5777 5777 5777 0 DUES AND FEES 170 170 170 0 MEMBERSHIP DUES 25 25 25 0 GOLF TOURNAMENT EXPENSE 2058 0 2058 0 GROSS INCOME FROM SPECIAL FUNDRAISING EVENTS 11510 11510 INVESTMENT MANAGEMENT 7190 7190 7160 0