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          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21202</ZIPCd>
        </USAddress>
        <RecipientEIN>521576404</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY SMILES FOR KIDS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10602 CHAPMAN AVENUE</AddressLine1Txt>
          <CityNm>GARDEN GROVE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92840</ZIPCd>
        </USAddress>
        <RecipientEIN>383675065</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INFANT WELFARE SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3600 W FULLERTON AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60647</ZIPCd>
        </USAddress>
        <RecipientEIN>362167752</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KINDERSMILE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 BROAD STREET</AddressLine1Txt>
          <CityNm>BLOOMFIELD</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>07003</ZIPCd>
        </USAddress>
        <RecipientEIN>562635166</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIDS COMMUNITY CLINIC OF BURBANK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 W ELMWOOD AVE</AddressLine1Txt>
          <CityNm>BURBANK</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91506</ZIPCd>
        </USAddress>
        <RecipientEIN>954791296</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>67500</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANCASTER CLEFT PALATE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>223 N LIME STREET</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17602</ZIPCd>
        </USAddress>
        <RecipientEIN>231306888</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH EAST MEDICAL SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2171 JUNIPERO SERRA BLVD 260</AddressLine1Txt>
          <CityNm>DALY CITY</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94014</ZIPCd>
        </USAddress>
        <RecipientEIN>941722562</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHLAKES COMMUNITY CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7665 US HIGHWAY 2</AddressLine1Txt>
          <CityNm>IRON RIVER</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54847</ZIPCd>
        </USAddress>
        <RecipientEIN>352297925</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROVIDENCE PORTLAND MEDICAL FOUNDAT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4805 NE GLISAN STREET</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97213</ZIPCd>
        </USAddress>
        <RecipientEIN>931231494</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>17586</CashGrantAmt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STONY BROOK SCHOOL OF DENTAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>SCHOOL OF DENTAL MEDICINE</AddressLine1Txt>
          <CityNm>STONY BROOK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11794</ZIPCd>
        </USAddress>
        <RecipientEIN>205344227</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>17907</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS A&amp;M FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 GEORGE BUSH DRIVE</AddressLine1Txt>
          <CityNm>COLLEGE STATION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77840</ZIPCd>
        </USAddress>
        <RecipientEIN>742245072</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE DENVER HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>777 BANNOCK STREET MC0111</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80204</ZIPCd>
        </USAddress>
        <RecipientEIN>841085196</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF COLUMBIA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 WEST 131ST STREET MC 8741</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10027</ZIPCd>
        </USAddress>
        <RecipientEIN>135598093</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF MARYLAND BALTIMORE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>650 WEST BALTIMORE STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
        </USAddress>
        <RecipientEIN>311678679</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAUKESHA COUNTY COMMUNITY DENTAL CL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>210 NW BARSTOW STREET</AddressLine1Txt>
          <CityNm>WAUKESHA</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53188</ZIPCd>
        </USAddress>
        <RecipientEIN>300436162</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>162500</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VARIETY CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3000 NORTH GRAND BOULEVARD</AddressLine1Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73107</ZIPCd>
        </USAddress>
        <RecipientEIN>731088577</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS DENTAL CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>29</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FELLOWSHIP PROGRAMS: EACH APPLICATION PACKAGE IS REQUIRED TO SUBMIT A DETAIL BUDGET ANALYSIS AND RESEARCH PROPOSAL. A DELIVERABLE PROJECT SUCH AS A PUBLISHED ARTICLE IN A PEER REVIEWED JOURNAL OR PRESENTATION AT A NATIONAL MEETING IS REQUIRED AT THE END OF THE FELLOWSHIP. ACCESS TO CARE: IN THE GRANT APPLICATION PROCESS THE APPLICANT IDENTIFIES EXACTLY HOW THE GRANT AWARD WILL BE SPENT ALSO A MID-TERM AND FINAL REPORT ARE FILED BY THE GRANT RECIPIENT THAT INDICATES HOW THE FUNDS WERE SPENT. DENTAL HOME DAY/MASTER CLINICIAN: THESE GRANTS ARE MONITORED WITH A MIDTERM REPORT DUE 6 MONTHS AFTER FUNDS ARE EXPENSED. A MIDTERM CALL WITH MEMBERS OF FOUNDATION STAFF, BOT AND GRANTS AND PROGRAMS COMMITTEE. A FINAL REPORT IS DUE 30 DAYS AFTER THE 12 MONTH GRANT CYCLE CONCLUDES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc5">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN S RUTKAUSKAS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>375000</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>37500</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>56250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28608</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>497358</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>C SCOTT LITCH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>291300</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>29700</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>43500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27850</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>392350</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL AMUNDSEN</PersonNm>
        <TitleTxt>FOUNDATION DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>161910</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17990</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16650</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1850</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>24975</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2775</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2769</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>308</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>206304</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>22923</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JOHN S. RUTKAUSKAS 0 12,750 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>62664</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN PREPARER EMAILS A COPY OF THE COMPLETED FORM 990 TO THE CEO WHO DISTRIBUTES THE 990 TO EACH VOTING BOARD MEMBER. AFTER THEIR REVIEW, EACH BOARD MEMBER CONFIRMS VIA EMAIL THAT THEY HAVE REVIEWED THE 990 AND ANY QUESTIONS HAVE BEEN ANSWERED TO THEIR SATISTACTION. ONCE THE RETURN PREPARER RECEIVES THE CONFIRMATION FROM ALL VOTING MEMBERS, THE RETURN IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO INSURE UNIFORM ADHERENCE TO THE POLICY, ALL NEW TRUSTEE'S OR COUNCIL/COMMITTEE/ TASK FORCE MEMBERS ARE REQUIRED TO FILL OUT A CONFLECT OF INTEREST DISCLOSURE FORM. AN ORAL REMINDER OF THE CONFLECT OF INTEREST POLICY IS GIVEN AT THE BEGINNING OF ALL BOARD, COUNCIL, AND COMMITTEE MEETINGS. ALL INDIVIDUALS COVERED BY THIS POLICY ANNUALLY FILL OUT THE RELEVANT DISCLOSURE FORM AS PROVIDED AND MAINTAINED BY THE HEADQUARTERS OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HSHC REIMBURSES AAPD FOR SALARIES AND SUCH SALARIES ARE DETERMINED BY AAPD BASED ON COMPARABILITY DATA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>HSHC REIMBURSES AAPD FOR SALARIES AND SUCH SALARIES ARE DETERMINED BY AAPD BASED ON COMPARABILITY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE THE COPIES UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc8">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF PEDIATRIC DENTI</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>211 E CHICAGO AVE STE 1600</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>362686639</EIN>
        <PrimaryActivitiesTxt>ED.PED.DEN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF PEDIATRIC DENTI</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>8773</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF PEDIATRIC DENTI</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>49505</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF PEDIATRIC DENTI</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>4386</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
