2024-11-01T07:24:50-05:00 2023-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2023-01-01 020489150 Northeast Delta Dental Foundation NORT 6032231000 PO Box 2002 Concord NH 033022002 THOMAS RAFFIO President & CEO 6032231000 2024-09-16 1 0 Connor Smart P02285543 6036262200 2024-09-16 2023 2024-10-15 13:58:12Z Thomas Raffio PO Box 2002 Concord NH 033022002 2323711 0 X www.nedelta.com X 1996 NH Promote dental health and education in northern New England 10 10 0 15 0 0 1278064 1893744 0 0 239179 396380 0 0 1517243 2290124 503999 1350105 0 0 0 0 0 0 0 13347 14920 517346 1365025 999897 925099 10442324 12527755 213817 188817 10228507 12338938 To promote dental health and education in northern New England. 0 0 962005 962005 Dental Equipment and Supplies: Cash donations to 44 nonprofit dental clinics to purchase dental equipment and supplies to serve patients who cannot afford dental care. 383100 383100 Oral Health Education Programs and Public Policy Development: Cash donations to 18 organizations to sponsor oral health education programs. Donations of printed materials and supplies to schools, nonprofit dental clinics, and other organizations to provide oral health education programs. 5000 5000 In-School Programs for Children: Cash donations to one organization, to sponsor in-school education programs on fluoride rinse or sealants for children. 1350105 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 NH X Jennifer McGrath 6032231000 c/o One Delta Drive Concord NH 033022002 X Grace Odimayo DMD Director 0.50 X 0 0 0 David B Solomon DDS Director 0.50 X 0 0 0 David B Staples DDS Director 0.50 X 0 0 0 Jeffrey R Walawender DDS Director 0.50 X 0 0 0 Terence A Wardrop Director 0.50 X 0 0 0 Jason Williams Director 0.50 X 0 0 0 Thomas Raffio President & Director 2.00 X X 0 0 0 Melvin J Severance III Chair & Director 0.50 X X 0 0 0 Jennifer L McGrath Treasurer 6.00 X 0 0 0 Siobhan Hutchinson Secretary 1.00 X 0 0 0 0 0 0 0 0 0 0 0 6133 1887611 1893744 396380 396380 28734 6133 33587 -4853 -4853 4853 0 4853 4853 2290124 0 0 396380 1350105 1350105 2975 2975 10744 10744 1126 1126 Bank Service Charges 75 75 1365025 1350105 14920 0 1031008 413666 904100 1516500 8507216 10597589 10442324 12527755 213817 188817 213817 188817 X 10178507 12288938 50000 50000 10228507 12338938 10442324 12527755 925099 1185332 0 X 0 0 0 X 500475 1715901 1988648 1288438 1898597 7392059 500475 1715901 1988648 1288438 1898597 7392059 6485936 906123 167542 126514 422609 239179 396380 1352224 8744283 0.10360 0.11040 X The Organization meets the Facts and Circumstances Test for the following reasons:1.) Through its activities, the Organization regularly and continuously benefits many thousands of members of the general public;2.) The Organization encourages donations from the general public through the website of Northeast Delta Dental (a group of nonprofit organizations) and through other means; and3.) The Organization's Board does not represent any narrow interests and is committed to representing all of the citizens of Northern New England who are most in need of dental care assistance. Part II, Section A, Line 1 Line 1 includes $20,573 as a very conservative estimate of the amount of annual in-kind non-cash contributions which are not included on the organization's books received over the past five years. The 2023 estimate for in-kind non-cash contributions is $4,853. Any net retained fundraising contributions were support from the general public. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9461382 1516500 1575266 388975 12164173 10206100 904100 -1307385 341433 9461382 7948027 1640700 1097782 480409 10206100 6473499 1218500 533990 277962 7948027 5618830 150000 954181 249512 6473499 0.99500 0.00000 0.00500 0 0 0 Part V, Line 4: To help ensure that the Foundation can continue to promote dental health and education in Northern New England. Golf Tournament 34867 6133 28734 8982 9255 15350 34867 6133 28734 8982 9255 15350 33587 -4853 1 Community Dental 190 Park Avenue Portland ME 04102 237129502 501(c)(3) 155350 0 Dental equipment Trustees of Tufts College (Tufts University School of Dental Medicine) 20 Professors Row Medford MA 02155 042103634 501(c)(3) 150000 0 Dental students mentorship program Mainely Teeth 166 Regan Lane Portland ME 04103 874255473 501(c)(3) 100000 0 Mobile dental clinic waiting list Mid-State Health Center 101 Boulder Point Drive Suite 1 Plymouth NH 03864 020487172 501(c)(3) 93359 0 $34,0000 for equipment for clinic in Littleton; $59,359 for Endodontist equipment Autism Speaks 1060 State Road 2nd Floor Princeton NJ 08540 202329938 501(c)(3) 85000 0 Online oral health tool kit Saving People's Smiles Dental Center 194 Pleasant Street Suite 6 Concord NH 03301 272627267 501(c)(3) 75000 0 Wally's War Against Addiction program for patients in recovery MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 043369653 501(c)(3) 64669 0 Dental equipment and support for medical assistant New York University College of Dentistry 70 Washington Square South New York NY 10012 135562308 501(c)(3) 50000 0 Student dental outreach program in Machias Littleton School District - Hugh J Gallen Career Technology Center 159 Oak Hill Avenue Littleton NH 03561 026000497 Gov 50000 0 Equipment and fit-up for dental assisting career training program North American Family Institute (NFI) 40 Park Lane Contoocook NH 03229 043161042 501(c)(3) 50000 0 Dental health flex fund Mount Desert Island Hospital 10 Wayman Land Bar Harbor ME 04609 010211797 501(c)(3) 22990 0 Dental Equipment National Foundation of Dentistry for the Handicapped 1800 15th Street Suite 100 Denver CO 80202 900292580 501(c)(3) 20000 0 Dental Lifeline Network of NH; donated dental services program support Sullivan County Oral Health Collaborative 1 Tremont Street Claremont NH 03743 680662886 501(c)(3) 20000 0 Dental equipment Vermont State Dental Society 1 Kennedy Drive Suite L3 South Burlington VT 05403 222514423 501(c)(3) 20000 0 Dental auxiliary recruitment program Wentworth-Douglass Hospital 789 Central Avenue Dover NH 03820 510491062 501(c)(3) 20000 0 Cancer patient dentistry program at dental center Crotched Mountain Foundation 186 Granite Street Suite 3C Manchester NH 03101 020222168 501(c)(3) 19200 0 Community care oral health care program New Hampshire Public Health Association 4 Park Street Suite 403 Concord NH 03301 020453814 501(c)(3) 15500 0 New Hampshire Oral Health Coalition Brigid's House of Hope 18 Loudon Road 3836 Concord NH 03301 825246296 501(c)(3) 15000 0 Dental care fund for residents Catholic Charities of Maine PO Box 10660 Portland ME 04104 010280225 501(c)(3) 15000 0 Dental equipment for Jesse Albert Dental and Orthodontic Center Concord Hospital Trust 250 Pleasant Street Concord NH 03301 222594672 501(c)(3) 15000 0 Pledge support for dental center National Foundation of Dentistry for the Handicapped PO Box 3487 Concord NH 033023487 900292580 501(c)(3) 15000 0 Dental Lifeline Network of NH; donated dental services program support VFW Post 816 600 Cottage Street Littleton NH 03561 020217171 501(c)(19) 15000 0 Littleton Veteran's Dental program National Foundation of Dentistry for the Handicapped PO Box 2282 Augusta ME 043382282 841533658 501(c)(3) 12500 0 Dental Lifeline Network of ME; donated dental services program support Harrington Family Health Center 50 E Main Street Harrington ME 04643 010409494 501(c)(3) 10755 0 Dental equipment Dismas Home of New Hampshire 102 Fourth Street Manchester NH 03102 472722572 501(c)(3) 10000 0 Dental care fund for clientele Farmsteads of New England 213 Center Road Hillsborough NH 03244 020517433 501(c)(3) 10000 0 Dental Care for low-income adults with disabilities Good Neighbor Health Clinic 70 N Main Street White River Junction VT 05001 030346949 501(c)(3) 10000 0 Red Logan Dental Clinic dental extern student housing stipends Greater Nashua Dental Connection 31 Cross Street Nashua NH 03064 020500866 501(c)(3) 10000 0 Dental equipment and supplies Greater Seacoast Community Health Foundation 311 Route 108 Somersworth NH 03872 020304203 501(c)(3) 10000 0 Support for oral care of the patients Harbor Homes (Harbor Care Health and Wellness Center) 77 Northeastern Boulevard Nashua NH 03062 020351932 501(c)(3) 10000 0 Support for care of dental centers patients Hope on Haven Hill PO Box 1272 Rochester NH 03866 474623824 501(c)(3) 10000 0 Dental assistance fund for clientele Northeast Washington County Community Health Inc - The Health Center PO Box 320 Plainfield VT 05667 030240129 501(c)(3) 10000 0 Dental equipment for use in OR The Friends of NH Drug Courts 100 North Main Street Suite 400 Concord NH 03301 260899302 501(c)(3) 10000 0 Dental care for program participants University of Vermont Medical Center 111 Colchester Avenue Burlington VT 05401 030219309 501(c)(3) 10000 0 General practice dental residency program Windham County Dental CenterUnited Way of Windham County - Fiscal Agent PO Box 617 Brattleboro VT 05302 853639751 501(c)(3) 10000 0 School to dentist referral program Center for Technology Essex Dental Assisting Program 2 Educational Drive Suite 200 Essex Junction VT 05452 812070986 Gov 8100 0 Dental equipment MaineHealth - Waldo County Dental Care 125 Northport Avenue Suite 107 Belfast ME 04915 010238552 501(c)(3) 7679 0 Dental equipment University of NH Foundation - Institute on Disability 9 Edgewood Road Durham NH 03824 020437506 501(c)(3) 7500 0 Leadership Series for individuals with disabilities and their family members Penobscot Community Health Center Inc 103 Maine Avenue PO Box 2100 Bangor ME 04402 010514750 501(c)(3) 7117 0 Dental equipment Town of Hartford School District - Career & Technology Center 1 Gifford Road White River Junction VT 05001 036000504 Gov 7000 0 Dental assisting career training program Ronald McDonald House Charities of Burlington 16 S Winooski Avenue Burlington VT 05401 030287584 501(c)(3) 6786 0 Dental equipment One Sky Community Service 755 Banfield Road Portsmouth NH 03801 020368955 501(c)(3) 6000 0 Support for dental portion of readiness fund for clientele 41 1 Part I, Line 2: Donation recipients are required to send a report annually detailing how the money was spent, using statistics of patients served, utilization of machinery, or other specifics. These reports are monitored by the Foundation Treasurer who tracks the receipt of the annual reports. Form 990, Part VI, Section A, line 6 The Foundation has three members: Delta Dental Plan of New Hampshire, Inc.; Delta Dental Plan of Vermont, Inc.; and Maine Dental Services Corporation. All three members are tax-exempt under Internal Revenue Code Section 501(c)(4). Form 990, Part VI, Section A, line 7a The members elect the Foundation's Board of Directors. Form 990, Part VI, Section A, line 7b In addition to electing the Board of Directors, the members have the power to remove directors, repeal or change bylaws by 2/3rd member vote (Board has primary authority to amend bylaws), and to dissolve the Corporation by 2/3rd member vote. Form 990, Part VI, Section B, line 11b The Form 990 is reviewed in detail by key finance employees of Northeast Delta Dental. A final draft is presented to the Board before the Form 990 is filed. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is distributed annually to all officers, directors, and the management team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. General Counsel reviews the returned policies and reports the results to the entire Board of Directors. Board members are asked to provide updates of any changes that may occur between their annual conflict of interest filings. Form 990, Part VI, Section C, line 19 Upon request, Northeast Delta Dental Foundation makes its governing documents, conflict of interest policy, or financial statements available to the public.