2024-04-11T10:30:18-07:00 2023-06-30 990 2022-07-01 813824857 CREIGHTON DENTAL QALICB INC CREI 4022805750 2500 California Plaza Omaha NE 68178 John J Jesse III Vice President 4022803835 2024-04-11 John J Jesse III 999009999 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z X John J Jesse III 2500 California Plaza Omaha NE 68178 5586560 0 X X 2014 NE Construct, finance, and lease the University dental school building on behalf of Creighton University X 7 3 0 3 0 0 0 0 316000 249000 0 0 0 5337560 316000 5586560 24643 24642 0 0 0 0 0 0 0 1891015 1399684 1915658 1424326 -1599658 4162234 56992556 0 18579580 0 38412976 0 Construct, finance, and lease the University dental school building on behalf of Creighton University 0 0 1400888 24642 5586560 Construct, finance, and lease the University dental school building on behalf of Creighton University 0 0 0 1400888 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X John J Jesse III 4022803835 2500 California Plaza Omaha NE 68178 Mardell Wilson EdD Director 1 40 X 0 429768 32999 Jan Madsen Director, President 1 40 X X 0 433613 21404 James S Jansen Secretary 1 40 X 0 343089 35392 Mark Latta DMD Director, Chairman 1 40 X 0 251171 28964 John J Jesse III Vice President, Treasurer 1 40 X 0 192003 31213 Derek Scott Director 1 40 X 0 182443 13399 Benjamin G Hardy DDS Director 1 0 X 0 0 0 John Fullenkamp Director 1 0 X 0 0 0 Leo Knowles Director 1 0 X 0 0 0 0 1832087 163371 0 0 1 0 0 0 Lease of University dental school building 531120 249000 249000 0 0 0 0 0 0 249000 0 0 0 0 New Markets Tax Credit Loan Forgiveness Income 900099 5337560 5337560 0 0 0 0 0 0 5337560 5586560 5586560 0 0 24642 24642 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23438 0 23438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 116702 116702 0 0 0 0 0 0 1154281 1154281 0 0 0 0 0 0 Bank Service Charges 14843 14843 0 0 Bond Issue Cost Amortization 90420 90420 0 0 0 0 0 0 1424326 1400888 23438 0 131764 0 0 0 56860792 0 56992556 0 18579580 0 0 0 18579580 0 X 38412976 0 0 0 38412976 0 56992556 0 X 4162234 0 0 0 0 -42575210 X 0 1 X 1 0 X X X 1 Creighton University 470376583 2 1 0 249000 1 0 249000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, Line 12g(i) Creighton Dental constructed the University dental building on behalf of Creighton University. The University occupied the building as sole tenant and commenced on its long-term lease effective August 1, 2018. The fair market value of the use of the facilities provided for the benefit of Creighton University is estimated at $249,000, using the total lease payment. 0 0 X Schedule D, Part X, Line 2 As of June 30, 2023, Creighton Dental had no liability for unrecognized tax benefits. 1 American Communities Trust Inc PO Box 50160 Baltimore MD 21211 262998289 501(c)(3) 24642 Financial assistance provided to American Communities Trust, Inc. to support low-income urban communities. 1 0 Schedule I, Part I, Line 2 The financial assistance provided to American Communities Trust, Inc. was provided in accordance with the terms of the Contribution Agreement. The Contribution Agreement with American Communities Trust, Inc. was established as part of the New Market Tax Credit financing obtained to construct the University dental school building on behalf of Creighton University. No set procedures are in place for monitoring use of grant funds. 0 0 0 0 0 0 0 1 0 Mardell Wilson EdD Director 0 428630 0 1000 0 138 0 21350 0 11649 0 462767 0 0 Jan Madsen Director, President 0 411855 0 1000 0 20758 0 21350 0 54 0 455017 0 0 James S Jansen Secretary 0 321219 0 1000 0 20870 0 21350 0 14042 0 378481 0 0 Mark Latta DMD Director, Chairman 0 230850 0 1000 0 19321 0 18114 0 10850 0 280135 0 0 John J Jesse III Vice President, Treasurer 0 170245 0 1000 0 20758 0 14240 0 16973 0 223216 0 0 Derek Scott Director 0 181185 0 1000 0 258 0 12781 0 618 0 195842 0 0 Schedule J, Part I, Line 7 The University provided nonfixed payments to all faculty/staff in the form of appreciation payments due to work demand during the pandemic culminating with this final payment made during the fiscal year ended June 30, 2023. Land and building at 2109 Cuming Street where the Creighton Dental School is located. 2023-06-01 42575210 Net book value of assets 470376583 Creighton University 2500 California Plaza Omaha NE 68178 501(c)(3) 0 0 0 0 1 1 1 1 1 1 Schedule N, Part I, Line 6b The University and the Investment Funds exercised their respective put/call options to unwind the new markets financing structure effective October 25, 2022 for UACD Sub-CDE 26 and March 16, 2023, for UACD Sub-CDE 27 and URP Subsidiary CDE XXIX. Since all options are exercised and the agreed-upon consideration has been paid, the notes payable related to the new markets tax credit structure are considered paid in full, resulting in the forgiveness of the Notes B payable of $5,337,560. Form 990, Part VI, Section A, Line 8b Creighton Dental does not currently have any separate committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared and reviewed internally by management. Upon completion, the return is reviewed externally by an independent accounting firm. Due to Creighton Dental's dissolution on June 1, 2023, the members of the Board of Trustees disbanded and did not review the final Form 990. Form 990, Part VI, Section B, Line 12c All officers and members of the Board of Trustees are required annually to submit a statement disclosing any potential conflicts of interest. Any potential conflicts disclosed are reviewed by the Creighton University Office of General Counsel and it determines what further action is taken to prevent or mitigate the conflict of interest. Form 990, Part VI, Section C, Line 19 Creighton Dental governing documents, conflict of interest policy, and financial statements are available upon request. Form 990, Part XI, Line 9 Creighton Dental transferred cash, land, and building, less notes payable, of $42,575,210 to Creighton University. Creighton University 2500 California Plaza Omaha NE 68178 470376583 Provides higher education NE 501(c)(3) 2 N/A 0 Creighton University - Boys Town Healthcare Fn 511 N 20 Street Omaha NE 68178 470841669 Receive grants and disburse to its members NE 501(c)(3) 12 Type 2 N/A 0 Creighton Soccer Stadium Inc 2500 California Plaza Omaha NE 68178 470151500 Rental of real estate NE Creighton University C 0 0 Charitable remainder trusts (21) 2500 California Plaza Omaha NE 68178 Trust NE N/A T 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 1 0