2025-10-21T15:04:14-05:00 2024-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2024-01-01 020489150 Northeast Delta Dental Foundation NORT 6032231000 PO Box 2002 Concord NH 033022002 THOMAS RAFFIO President & CEO 6032231000 2025-10-20 1 0 Connor Smart P02285543 6036262200 2025-10-20 2024 2025-03-06 01:10:19Z Thomas Raffio PO Box 2002 Concord NH 033022002 1346319 0 X www.nedelta.com X 1996 NH Promote dental health and education in northern New England 8 8 0 15 0 0 1893744 828038 0 0 396380 496729 0 0 2290124 1324767 1350105 794450 0 0 0 0 0 0 0 14920 16044 1365025 810494 925099 514273 12527755 13580203 188817 0 12338938 13580203 To promote dental health and education in northern New England. 0 0 616523 616523 0 Dental Equipment and Supplies: Cash donations to 39 nonprofit dental clinics to purchase dental equipment and supplies to serve patients who cannot afford dental care. 170327 170327 0 Oral Health Education Programs and Public Policy Development: Cash donations to 19 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. 7600 7600 0 In-School Programs for Children: Cash donations to one organization, to sponsor in-school education programs on fluoride rinse or sealants for children. 794450 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 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 NH X Jennifer Beyer 6032231000 c/o One Delta Drive Concord NH 033022002 X Matthew Cookson Director 0.50 X 0 0 0 Grace Odimayo DMD Director 0.50 X 0 0 0 Brian Townsend 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 Beyer Treasurer 6.00 X 0 0 0 Siobhan Hutchinson Secretary 1.00 X 0 0 0 0 0 0 0 0 0 0 0 22332 805706 828038 496729 496729 15873 22332 21552 -5679 -5679 5679 0 5679 5679 1324767 0 0 496729 794450 794450 3150 3150 12819 12819 Bank Service Charges 75 75 810494 794450 16044 0 413666 1467752 1516500 349000 10597589 11763451 12527755 13580203 188817 0 188817 0 X 12288938 341263 50000 13238940 12338938 13580203 12527755 13580203 514273 726992 0 X 1 X 0 0 0 X 1715901 1988648 1288438 1898597 833717 7725301 1715901 1988648 1288438 1898597 833717 7725301 6732723 992578 126514 422609 239179 396380 496729 1681411 9406712 0.10550 0.10360 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 $19,327 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 2024 estimate for in-kind non-cash contributions is $5,679. Any net retained fundraising contributions were support from the general public. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12164173 349000 1188531 462765 13238939 9461382 1516500 1575266 388975 12164173 10206100 904100 -1307385 341433 9461382 7948027 1640700 1097782 480409 10206100 6473499 1218500 533990 277962 7948027 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 38205 22332 15873 10005 10102 1445 38205 22332 15873 10005 10102 1445 21552 -5679 1 Mainely Teeth 166 Regan Lane Portland ME 04103 874255473 501(c)(3) 100000 0 Mobile dental clinic waiting list Saving People's Smiles Dental Center 194 Pleasant Street Suite 6 Concord NH 03301 272627267 501(c)(3) 58000 0 Wally's War Against Addiction program for patients in recovery Caring Hands of Maine 72 Beechland Road Ellsworth ME 04605 352383314 Other 50000 0 Dental Equipment Sullivan County Oral Health Collaborative 1 Tremont Street Claremont NH 03743 680662886 501(c)(3) 50000 0 Dental equipment Vermont State Dental Society 1 Kennedy Drive Suite L3 South Burlington VT 05403 222514423 501(c)(3) 40000 0 Dental auxiliary recruitment program Community Health Centers of Rutland County 71 Allen Street Suite 101 Rutland VT 05701 221179701 501(c)(3) 25000 0 Dental equipment National Foundation of Dentistry for the Handicapped 1800 15th Street Suite 100 Denver CO 80202 900292580 501(c)(3) 25000 0 Dental Lifeline Network of NH; donated dental services program support New Hampshire Oral Health Network Inc 4 Park Street Suite 403 Concord NH 03301 933154560 501(c)(3) 25000 0 General Operating Suppport Center for Technology Essex Dental Assisting Program 2 Educational Drive Suite 200 Essex Junction VT 05452 812070986 Gov 23000 0 Scholarships for dental assisting students VFW Post 816 600 Cottage Street Littleton NH 03561 020217171 501(c)(19) 20000 0 Littleton Veteran's Dental program MaineHealth - Waldo County Dental Care 125 Northport Avenue Suite 107 Belfast ME 04915 010238552 501(c)(3) 19685 0 Dental equipment 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 1800 15th Street Suite 100 Denver CO 80202 900292580 501(c)(3) 15000 0 Dental Lifeline Network of NH; donated dental services program support Open Door Clinic 100 Porter Drive Middlebury VT 05753 030359531 501(c)(3) 15000 0 General Operating Suppport Southwestern Community Services PO Box 603 Keene NH 03431 026013808 501(c)(3) 15000 0 Head Start Program The Friends of NH Drug Courts 100 North Main Street Suite 400 Concord NH 03301 260899302 501(c)(3) 15000 0 Dental care for program participants Harrington Family Health Center 50 E Main Street Harrington ME 04643 010409494 501(c)(3) 14182 0 Dental equipment Mount Desert Island Hospital 10 Wayman Land Bar Harbor ME 04609 010211797 501(c)(3) 12817 0 Dental Equipment 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 Chittenden Community Television VT Launguage Justice Project 294 North winooski Avenue Burlington VT 05401 222582888 501(c)(3) 12025 0 Refugee and Immigrant oral health education initative Crotched Mountain Foundation 186 Granite Street Suite 3C Manchester NH 03101 020222168 501(c)(3) 12000 0 Community care oral health care program Vermont Coalition of Clinics 125 Tremont Street Barre VT 05641 522076899 501(c)(3) 11238 0 General Operating Suppport Aspire living & Learning 2096 Airport Road Barre VT 05641 030284103 501(c)(3) 10000 0 Dental care fund for clientele Dismas Home of New Hampshire 102 Fourth Street Manchester NH 03102 472722572 501(c)(3) 10000 0 Dental care fund for clientele 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 Maine Equal Justice Partners 126 Sewall Street Augusta ME 04330 043346273 501(c)(3) 10000 0 General Operating Suppport The Opportunity Alliance 50 Lydia Lane South Portland ME 04106 010274725 501(c)(3) 10000 0 General Operating Suppport Dartmouth-Hitchcock Health 1 Medical Center Drive Lebanon NH 03756 264812335 501(c)(3) 8000 0 Training for use of silver diamine fluoride in pediatric practices Battenkill Valley Health Center PO Box 61 Arlington VT 05250 272759990 501(c)(3) 7500 0 Community outreach and education program Ellsworth Free Clinic 248 State Street Suite 16 Ellsworth ME 04605 201746627 501(c)(3) 7500 0 Dental health education and treatment for patients Children's Oral Health Network of Maine PO Box 11 Yarmouth ME 04096 813309003 501(c)(3) 6900 0 Oral health education for Champion for Maine York County Community Action Corporation 6 Spruce Street PO Box 61 Sanford ME 04073 016020406 501(c)(3) 6814 0 Dental equipment to expand oral health care provided at Nasson Health Care Tricounty Community Action Agency 1126 Hartford Avenue Johnston RI 02919 050309695 501(c)(3) 6000 0 General Operating Suppport Building Community in New Hampshire 1045 Elm Street Suite 202 Manchester NH 03101 273435232 501(c)(3) 5500 0 Oral health program for refugee children 34 2 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.