2024-11-05T13:02:01-06:00 2024-06-30 561434747 GREERWALKER LLP 227 WEST TRADE ST SUITE 1100 CHARLOTTE NC 28202 990 2023-07-01 203921574 AMERICA'S TOOTHFAIRY NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION AMER 7043501600 PO BOX 11227 CHARLOTTE NC 28220 JILL MALMGREN EXECUTIVE DIRECTOR 7043501600 2024-10-29 1 0 PAULA P TILLEY P00051456 7043770239 2024-10-29 2023 2024-10-15 13:58:12Z AMERICA'S TOOTHFAIRY JILL MALMGREN PO BOX 11227 CHARLOTTE NC 28220 2389876 0 X WWW.NCOHF.ORG X 2005 DE AS A RESOURCE PROVIDER, WE INCREASE ACCESS TO ORAL HEALTH CARE BY SUPPORTING NONPROFIT CLINICS AND COMMUNITY PARTNERS DELIVERING EDUCATION, PREVENTION, AND TREATMENT SERVICES FOR UNDERSERVED CHILDREN. 11 11 2 12 0 0 2654998 2373540 0 0 636 420 27261 14669 2682895 2388629 2156877 163504 0 0 316186 331972 0 0 85202 258801 1846219 2731864 2341695 -48969 46934 1099133 1146326 19568 19827 1079565 1126499 AS A RESOURCE PROVIDER, WE INCREASE ACCESS TO ORAL HEALTH CARE BY SUPPORTING NONPROFIT CLINICS AND COMMUNITY PARTNERS DELIVERING EDUCATION, PREVENTION, AND TREATMENT SERVICES FOR UNDERSERVED CHILDREN. 0 0 2113113 163504 THE FOUNDATION EXPANDS AND ENHANCES THE ABILITY OF A GROWING NETWORK OF NOT-FOR-PROFIT DENTAL CLINICS AND COMMUNITY PARTNERS TO DELIVER ORAL HEALTH SERVICES FOR UNDERSERVED CHILDREN BY PROVIDING RESOURCES INCLUDING FINANCIAL SUPPORT, DONATED PRODUCTS AND EQUIPMENT, COMMUNITY PROGRAMS AND EDUCATIONAL MATERIALS. THE FOUNDATION ENGAGES VOLUNTEER HEALTH PROFESSIONALS AND STUDENTS, YOUTH, TRADITIONAL AND NON-TRADITIONAL PARTNERS TO PROVIDE CHILDREN AND THEIR CAREGIVERS DENTAL TREATMENT, PREVENTIVE SERVICES, EDUCATION, AND/OR BASIC ORAL CARE PRODUCTS. THE FOUNDATION ALSO PROMOTES SYSTEMS OF CHANGE BY PROVIDING ORAL HEALTH EDUCATION AND PREVENTION PROGRAMS AND COLLABORATING WITH A WIDE ARRAY OF COMMUNITY PARTNERS TO INCREASE ORAL HEALTH LITERACY AND PROMOTE OVERALL WELLNESS. 2113113 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 2 0 1 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 X JENNIFER MERRITT 7043501600 PO BOX 11227 CHARLOTTE NC 28220 X JILL MALMGREN EXECUTIVE DIRECTOR 40.00 X 165375 0 22899 JENNIFER MERRITT DIRECTOR OF OPERATIONS 1.00 X 106192 0 6000 ANN BRUCK CHAIRMAN 1.00 X X 0 0 0 PAUL GUGGENHEIM VICE PRESIDENT 1.00 X X 0 0 0 PAUL MONDOCK TREASURER 1.00 X X 0 0 0 GORDON CHRISTENSEN DDS MSD DIRECTOR 1.00 X 0 0 0 DAN COLBY DIRECTOR 1.00 X 0 0 0 CHERILYN G SHEETS DDS DIRECTOR 1.00 X 0 0 0 TEGWYN BRICKHOUSE DIRECTOR 1.00 X 0 0 0 JULIE PAULSEN DIRECTOR 1.00 X 0 0 0 CHERIE LE PENSKE DIRECTOR 1.00 X 0 0 0 MATT SANDERS DIRECTOR 1.00 X 0 0 0 271567 0 28899 2 0 1 0 0 2373540 1599741 2373540 420 420 15916 1247 14669 14669 2388629 0 0 15089 163504 163504 198440 117992 43439 37009 107732 64061 23589 20082 982 584 215 183 2771 1648 607 516 22047 13109 4827 4111 93454 56875 36579 143501 109991 18770 14740 3209 1908 703 598 26260 15614 5749 4897 6461 3842 1414 1205 4964 2951 1087 926 5013 2981 1097 935 DENTAL SUPPLIES EXPENSE 1436237 1436237 GRANT EXPENSE ALLOCATIO 121816 121816 TAXES AND FEES 5304 5304 2341695 2113113 143380 85202 1075576 1124988 5000 11000 7021 3766 2121 2121 15134 10683 9415 4451 1099133 1146326 19568 19827 19568 19827 X 1079565 1126499 0 0 1079565 1126499 1099133 1146326 46934 0 X X 0 1 X 1 0 X 1642008 1279387 1192866 2654998 2373540 9142799 1642008 1279387 1192866 2654998 2373540 9142799 5576383 3566416 286 40 70 636 420 1452 68726 63720 51432 35151 15916 234945 9379196 0.38020 0.43390 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING GROSS RECEIPTS - 2019 AMOUNT: $ 68,726. 2020 AMOUNT: $ 63,720. 2021 AMOUNT: $ 51,432. 2022 AMOUNT: $ 35,151. 2023 AMOUNT: $ 15,916. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15134 10683 4451 4451 X 2690022 300146 1247 301393 2388629 0 2388629 2643088 300146 1247 301393 2341695 0 2341695 PART X, LINE 2: THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION RECORDS LIABILITIES FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN WHEN THOSE POSITIONS ARE DEEMED UNCERTAIN TO BE UPHELD IN AN EXAMINATION BY TAXING AUTHORITIES. NO LIABILITIES FOR UNCERTAIN INCOME TAX POSITIONS WERE RECORDED AS OF JUNE 30, 2024 AND 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES RECLASSIFIED 1,247. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXEPENSE RECLASSIFIED 1,247. BID FOR SMILES 15916 15916 1247 15916 15916 1247 1247 14669 1 APPLE TREE DENTAL 2442 MOUNDS VIEW BLVD MOUNDS VIEW MN 55112 363411437 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT CHILDRENS DENTAL HEALTH SERVICES 903 WEST CENTER ST SUITE 130 ROCHESTER MN 55902 203677586 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT GATEWAY TO ORAL HEALTH FOUNDATION 2211 OLIVE STREET SUITE 300 ST LOUIS MO 63103 113664960 501(C)(3) 0 6731 FMV DENTAL SUPPLIES PROGRAM SUPPORT HEARTLAND COMMUNITY HEALTH CENTER 346 MAINE STREET LAWRENCE KS 66044 481221800 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT KINDERSMILE COMMUNITY ORAL HEALTH CENTER TRENTON 101 NORTH BROAD STREET TRENTON NJ 08608 562635166 501(C)(3) 0 12531 FMV DENTAL SUPPLIES PROGRAM SUPPORT ASSISTANCE LEAGUE SAN BERNARDINO AKA DR EARL R CRANE 580 WEST 6TH STREET SAN BERNARDINO CA 92410 956065105 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT AUGUSTA REGIONAL CLINIC PO BOX 153 342 MULE ACADEMY RD FISHERVILLE VA 22939 541651896 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT CARE CLINIC 906 COLLEGE AVE DOOR 1 RED WING MN 55066 270540451 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT CASS COUNTY DENTAL CLINICCASS COMMUNITY 802 E WALNUT BELTON MO 64012 431349495 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT DENTAL HEALTH ARLINGTON 501 W SANFORD ST STE 11 ARLINGTON TX 76011 752467366 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT KIDS' COMMUNITY DENTAL CLINIC 400 W ELMWOOD AVE BURBANK CA 91506 954791296 501(C)(3) 0 5800 FMV DENTAL SUPPLIES PROGRAM SUPPORT SAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH 14101 EAST NELSON AVENUE LA PUENTE CA 91746 954590029 501(C)(3) 0 931 FMV DENTAL SUPPLIES PROGRAM SUPPORT ST JOHNS COMMUNITY HEALTH 808 W 58TH ST 208 LOS ANGELES CA 90037 954067758 501(C)(3) 0 931 FMV DENTAL SUPPLIES PROGRAM SUPPORT THE COMMUNITY DENTAL CENTER 300 E BUCKTHORN STREET INGLEWOOD CA 90301 954533883 501(C)(3) 0 90180 FMV DENTAL SUPPLIES PROGRAM SUPPORT 15 0 PART I, LINE 2: AMERICA'S TOOTHFAIRY AWARDS GRANTS TO INCREASE ACCESS TO DENTAL CARE. ALL GRANTS ARE LIMITED TO CLINICS IN THE DENTAL RESOURCE PROGRAM (DRP). WHEN A NEW GRANT CYCLE OPENS, THE FOUNDATION NOTIFIES DRP MEMBER CLINICS. FOR DIRECT SERVICE GRANTS IN THE GAP PROGRAM, ANNOUNCEMENTS INCLUDE ALL APPLICABLE ELIGIBILITY REQUIREMENTS SUCH AS AGE, LOCATION, OR TYPE OF SERVICE TO BE PERFORMED. CLINICS ARE SUBSEQUENTLY INVITED TO APPLY ON BEHALF OF THEIR PATIENT. INCLUDED IN THE APPLICATION IS A FULL TREATMENT PLAN DETAILING ALL SERVICES TO BE PERFORMED, THE COST FOR THE TREATMENT, AND BACKGROUND ON THE PATIENT'S FINANCIAL NEED. ALL GRANT AWARD CHECKS ARE SENT DIRECTLY TO THE CLINIC TO COVER THE PATIENT'S EXPENSES. AMERICA'S TOOTHFAIRY REQUESTS PICTURES AND TESTIMONIAL STATEMENTS UPON THE COMPLETION OF TREATMENT. ALSO, GRANT CHECKS ARE PHOTOCOPIED AND ATTACHED TO GRANT AWARD FOR OUR RECORDS. 1 X 0 0 0 0 0 0 0 0 0 JILL MALMGREN EXECUTIVE DIRECTOR 160414 0 4961 0 0 0 12000 0 10899 0 188274 0 0 0 JENNIFER MERRITT DIRECTOR OF OPERATIONS 105192 0 1000 0 0 0 6000 0 0 0 112192 0 0 0 X 7 1599741 ESTIMATED FAIR VALUE 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IN COLUMN (B) REFLECTS THE NUMBER OF DONORS. FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING A STAFF REVIEW BY THE PRESIDENT, CEO, AND THE CHIEF OPERATING OFFICER, THE 990 DRAFTS ARE DISSEMINATED TO THE NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION AUDIT COMMITTEE FOR THEIR REVIEW AND APPROVAL BEFORE SUBMITTING TO THE FULL BOARD OF DIRECTORS. STAFF WILL ENDEAVOR TO ANSWER QUESTIONS AS PRESENTED BY THE BOARD AND IF NECESSARY WILL INVOLVE THEIR ACCOUNTANTS FOR FURTHER REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION HAS A WRITTEN CONFLICT OF INTEREST POLICY. ANNUALLY, THE POLICY IS DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS. THE COMPLETED FORMS ARE RETURNED TO FOUNDATION OFFICES AND MAINTAINED ON FILE. FORM 990, PART VI, SECTION B, LINE 15A INITIALLY, COMPARATIVE DATA FROM SIMILAR ORGANIZATIONS IN SIZE AND STRUCTURE WAS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL AND GUIDANCE. ANNUALLY, IN CONJUNCTION WITH THE REVIEW PROCESS FOR THE ANNUAL BUDGET, SALARIES OF MANAGEMENT AND KEY EMPLOYEES ARE PRESENTED TO THE BOARD OF DIRECTORS FOR DISCUSSION. THE EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS ALSO CONDUCTS A SEPARATE ANNUAL REVIEW OF THE FOUNDATION'S PRESIDENT AND CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN F: THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FOR, 990, PART XI, LINE 2C, AUDIT COMMITTEE: THE AUDIT COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR.