2025-11-07T14:43:29-06:00 2024-12-31 135565207 KPMG LLP 401 UNION STREET SUITE 2800 SEATTLE WA 98101 990 2024-01-01 270937829 WASHINGTON DENTAL SERVICE WASH 2065221300 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 BRADLEY BERG VICE PRESIDENT OF FINANCE & CFO 2065221300 2025-11-07 1 0 KATHRYN J OKIMOTO P00746598 2069134000 2025-10-27 2024 2025-03-06 01:10:19Z RYAN BARTLETT 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 80419073 0 X N/A X 2009 WA WASHINGTON DENTAL SERVICE'S PURPOSE IS TO SERVE DELTA DENTAL OF WASHINGTON AND OTHER AFFILIATES IN SUPPORT OF DELTA DENTAL OF WASHINGTON'S MISSION OF IMPROVING THE PUBLIC'S ORAL HEALTH. 11 6 0 0 0 0 0 0 0 0 1076782 -578053 0 3787021 1076782 3208968 138530 119425 0 0 3740720 4843900 0 0 0 5906370 9552519 9785620 14515844 -8708838 -11306876 153710850 173923354 469573 1128315 153241277 172795039 SEE SCHEDULE O 0 0 4446443 119425 WDS IS COMMITTED TO SUPPORTING THE PROMOTION OF ORAL HEALTH AMONG THE CITIZENS OF WASHINGTON STATE. WDS CURRENTLY FULFILLS ITS MISSION BY GUIDING, MONITORING AND COORDINATING THE TAX-EXEMPT ACTIVITIES OF DELTA DENTAL OF WASHINGTON ("DDWA") AND OTHER RELATED ENTITIES. 4446443 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 11 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 WA X RYAN BARTLETT 2065221300 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 X ARMSTRONG SCOTT E DIRECTOR 3.00 9.00 X 0 169876 0 BRADSHAW DENNIS DIRECTOR - BRD. & DDS FEES 4.00 13.00 X 0 346956 0 BROWN COLLEEN BIRDNOW SECRETARY 1.00 4.00 X X 0 169876 0 HAKES KATHERINE M DIRECTOR - BRD. & DDS FEES 4.00 14.00 X 0 1111386 0 MITCHKE MARK D PRESIDENT & CHIEF EXECUTIVE 8.00 32.00 X X 0 4156863 536955 NELSON CAROL K VICE CHAIR 5.00 15.00 X X 0 184886 0 PICKEL CHRISTOPHER DIRECTOR - BRD. & DDS FEES 4.00 13.00 X 0 554305 0 RIVERA FRED DIRECTOR 3.00 9.00 X 0 137264 0 RUTHERFORD EVE M CHAIR - BRD. & DDS FEES 5.00 15.50 X X 0 1347828 0 WAGLE DILIP DIRECTOR 2.00 7.00 X 0 147812 0 WHITE MARVIN TREASURER 3.00 9.00 X X 0 154428 0 BARTLETT RYAN VP, CHIEF FINANCIAL OFFICER 4.00 36.00 X 0 517563 96337 BERG BRADLEY SENIOR VP, CHIEF ADMIN OFFICER 16.00 24.00 X 0 1420115 39886 FOSTER DAVIS VP, CORPORATE DEVELOPMENT 40.00 0.00 X 0 593671 107341 LOWRY-OAKES DIANE CHIEF MISSION OFFICER 39.50 0.50 X 0 506242 100122 WHITNEY GARRETT SENIOR VP, CHIEF INFORMATION OFFICER 4.00 36.00 X 0 798242 133205 MATHUR VINAYAK SR. PRODUCT MANAGER - ARTIFICIAL INTELLIGENCE 40.00 0.00 X 0 205429 14484 PICKARD SEAN SR DIR FOR POLICY AND MISSION IMPACT 24.00 16.00 X 0 270677 38161 PUCKETT GLENN ED, HEALTH TRANSFORMATION 40.00 0.00 X 0 258533 47335 TROSHCHENKO MIKHAIL SENIOR FULL STACK ENGINEER 40.00 0.00 X 0 166928 22853 WALKER WENDY SENIOR BUSINESS ARCHITECT 40.00 0.00 X 0 201306 30954 FARRELL ANNE V FORMER DIRECTOR (END 12/31/23) 0.00 0.00 X 0 15000 0 0 13435186 1167633 0 1 1 0 0 2125197 2125197 73433315 1073540 75979590 1230515 -2546275 -156975 -2703250 -2703250 INV INC FROM AFFILIATE 525990 3787021 3787021 3787021 3208968 0 0 3208968 X 119425 119425 1099913 932853 167060 3743987 2297544 1446443 1570731 1066849 503882 363241 14112 349129 19746 19746 14258 14258 2625516 2625516 302092 302092 44101 44101 40729 40729 23484 15660 7824 263664 263664 67073 67073 3653950 3653950 200065 200065 LOSS ON FOREIGN EXCHANG 294855 294855 TAXES & SERVICE CHARGES 61333 61333 DUES & SUBSCRIPTIONS 7681 7681 14515844 4446443 10069401 0 21071606 4259446 327206 3213668 348082 817412 10462557 0 0 10462557 62546209 81463937 -1653672 69314322 75198012 4956 4946 98469 157048 153710850 173923354 469573 1128315 469573 1128315 X 153241277 172795039 153241277 172795039 153710850 173923354 X -11306876 4953072 25907566 X 0 1 X 1 0 10207566 10207566 254991 254991 10462557 8 WEST 38858274 F SRV II LP 18577774 F CARRUM HEALTH INC. 2975834 C OPTIMUS 2872746 C SRV III LP 2814710 F AICURE, LLC 1845398 C CYRUS BIOTECHNOLOGY INC 1450000 C ORAL EYE LIMITED, INC 1016217 C CURVAFIX, INC. 500000 C OVERJET INC 499998 C ULAB 461195 C HEALTHENTIC, INC. 354970 F OTONEXUS MEDICAL TECH 349999 C OMNY, INC. 300000 C ORAL EYE LIMITED, INC 285477 C CAMBALT SOLUTIONS 275000 C CARECRU INCORPORATED 250000 C PRODONTIS 249999 C VIRTUAL DENTAL CARE 249998 C SWIFT HEALTH SYSTEMS (INBRACE) 249997 C ENTER, INC. 190000 C NEXT STEP INTERACTIVE, INC. 187793 C BRIGHT MD INC 125000 C LAUNCHPAD 100000 C KLOWEN BRACES INC 50000 C PEARL, INC. 49998 C WILLIO 32, INC 32635 C BENESOL, INC. 25000 C 75198012 1 UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO IL 60693 916001537 501(C)(3) 100000 0 FUNDING FOR DENTAL SUPPORT PLYMOUTH HOUSING GROUP 2113 THIRD AVE SEATTLE WA 98121 911122621 501(C)(3) 15000 0 SPONSORSHIP 2 0 PART I, LINE 2: THE GRANTEE IS REQUIRED TO SIGN A GRANT AGREEMENT STATING THAT THEY WILL USE THE FUNDS ONLY FOR PURPOSES OUTLINED IN THE GRANT AGREEMENT AND APPLICATION. THE GRANTEE IS REQUIRED TO FILE REPORTS ON REGULAR INTERVALS OUTLINING THE USE OF FUNDS. GRANTEE IS ALSO REQUIRED TO RETURN UNUSED FUNDING IF APPLICABLE. 0 1 0 0 0 0 0 0 0 MITCHKE MARK D PRESIDENT & CHIEF EXECUTIVE 0 1348783 0 2470608 0 337472 0 501239 0 35716 0 4693818 0 322799 BERG BRADLEY SENIOR VP, CHIEF ADMIN OFFICER 0 820232 0 582398 0 17485 0 23000 0 16886 0 1460001 0 0 RUTHERFORD EVE M CHAIR - BRD. & DDS FEES 0 204480 0 0 0 1143348 0 0 0 0 0 1347828 0 0 HAKES KATHERINE M DIRECTOR - BRD. & DDS FEES 0 149516 0 0 0 961870 0 0 0 0 0 1111386 0 0 WHITNEY GARRETT SENIOR VP, CHIEF INFORMATION OFFICER 0 489424 0 240023 0 68795 0 97974 0 35231 0 931447 0 57159 FOSTER DAVIS VP, CORPORATE DEVELOPMENT 0 361604 0 173408 0 58659 0 72211 0 35130 0 701012 0 46673 BARTLETT RYAN VP, CHIEF FINANCIAL OFFICER 0 347776 0 155871 0 13916 0 63339 0 32998 0 613900 0 0 LOWRY-OAKES DIANE CHIEF MISSION OFFICER 0 310538 0 141363 0 54341 0 64904 0 35218 0 606364 0 42409 PICKEL CHRISTOPHER DIRECTOR - BRD. & DDS FEES 0 149650 0 0 0 404655 0 0 0 0 0 554305 0 0 BRADSHAW DENNIS DIRECTOR - BRD. & DDS FEES 0 139668 0 0 0 207288 0 0 0 0 0 346956 0 0 PICKARD SEAN SR DIR FOR POLICY AND MISSION IMPACT 0 221980 0 44324 0 4373 0 18640 0 19521 0 308838 0 0 PUCKETT GLENN ED, HEALTH TRANSFORMATION 0 203730 0 49880 0 4923 0 16567 0 30768 0 305868 0 0 WALKER WENDY SENIOR BUSINESS ARCHITECT 0 174038 0 25000 0 2268 0 14283 0 16671 0 232260 0 0 MATHUR VINAYAK SR. PRODUCT MANAGER - ARTIFICIAL INT 0 168106 0 34371 0 2952 0 13844 0 640 0 219913 0 0 TROSHCHENKO MIKHAIL SENIOR FULL STACK ENGINEER 0 141117 0 24435 0 1376 0 11685 0 11168 0 189781 0 0 NELSON CAROL K VICE CHAIR 0 184886 0 0 0 0 0 0 0 0 0 184886 0 0 ARMSTRONG SCOTT E DIRECTOR 0 169876 0 0 0 0 0 0 0 0 0 169876 0 0 BROWN COLLEEN BIRDNOW SECRETARY 0 169876 0 0 0 0 0 0 0 0 0 169876 0 0 WHITE MARVIN TREASURER 0 154428 0 0 0 0 0 0 0 0 0 154428 0 0 FARRELL ANNE V FORMER DIRECTOR (END 12/31/23) 0 15000 0 0 0 0 0 0 0 0 0 15000 0 0 PART I, LINE 3 WDS DOES NOT COMPENSATE ANY EMPLOYEES. WDS IS ALLOCATED A PORTION OF CERTAIN DDWA EXECUTIVE COMPENSATION FOR SERVICES PROVIDED TO WDS. DDWA, A RELATED ORGANIZATION, HAS A HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF ITS BOARD OF DIRECTORS THAT ENGAGES A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO EVALUATE ALL KEY EMPLOYEES' COMPENSATION IN COMPARISON TO THE PRACTICE OF SIMILAR EMPLOYERS IN THE MARKETPLACE. THIS PROCESS IS CONDUCTED ON AN ANNUAL BASIS. PART I, LINE 4B A RELATED ORGANIZATION MAKES CONTRIBUTIONS TO A NONQUALIFIED PERFORMANCE BASED COMPENSATION PLAN, AS DETERMINED BY THE BOARD OF DIRECTORS, WHICH IS SUBJECT TO CODE SECTION 457(B). PLAN PARTICIPANTS ARE BOARD-APPROVED EXECUTIVE LEADERSHIP WHO RECEIVES AN ANNUAL CONTRIBUTION BASED ON A PERCENTAGE OF THE PRIOR YEAR EARNINGS LESS THE COMPANY MATCHING CONTRIBUTION TO THE 401(K) PLAN. COMPANY CONTRIBUTIONS ARE DIRECTED BY EACH PARTICIPANT, BUT VESTING OF THE BENEFIT IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE AS REQUIRED BY CODE SECTION 409(A). CONTRIBUTIONS MADE IN 2024 WERE AS FOLLOWS: MARK MITCHKE, PRESIDENT AND CHIEF EXECUTIVE OFFICER, $478,239; RYAN BARTLETT, VP CHIEF FINANCIAL OFFICER, $40,339; GARRETT WHITNEY, SENIOR VP CHIEF INFORMATION OFFICER, $74,974; DIANE LOWRY-OAKES, CHIEF MISSION OFFICER, $41,904; DAVIS FOSTER, VP CORPORATE DEVELOPMENT, $49,211. IN ADDITION, A RELATED ORGANIZATION OFFERS A 457(B) NONQUALIFIED SERP DEFERRED COMPENSATION PLAN FOR SENIOR MANAGEMENT THAT THE COMPANY DOES NOT MAKE ANY CONTRIBUTIONS TO. EACH OF THE FOLLOWING PARTICIPANTS CONTRIBUTED $23,000 TO THE PLAN DURING 2024: MARK MITCHKE, BRADLEY BERG, GARRETT WHITNEY, DIANE LOWERY-OAKES. EACH OF THE FOLLOWING PARTICIPANTS CONTRIBUTED $10,000 TO THE PLAN: RYAN BARTLETT. FORM 990, PART VI, SECTION A, LINE 6 DDWA'S MEMBER DENTISTS ARE CONSIDERED MEMBERS OF THE COMPANY. MEMBER DENTISTS ELECT THE DENTAL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNANCE & NOMINATING COMMITTEE (GNC) OF THE BOARD OF DIRECTORS SOLICITS ADVICE ON CANDIDATES AND SUBMITS NOMINEES TO THE WDS/DDWA BOARD FOR CONSIDERATION AND APPROVAL TO BE VOTED UPON. THE ENTIRE MEMBERSHIP ELECTS AND RE-ELECTS MEMBER DIRECTORS, WHO COMPRISE A MINORITY OF THE BOARD. THE INCUMBENT INDEPENDENT DIRECTORS NOMINATE AND ELECT OR RE-ELECT INDEPENDENT DIRECTORS. A MEMBER ADVISORY PANEL (MAP) CONSISTS OF TEN TO FIFTEEN MEMBERS THAT ARE SELECTED BY THE WDS BOARD FROM NOMINEES BY THE GNC. THE MAP PROVIDES CONSULTATION TO THE COMPANY, INCLUDING THE GNC AND BOARD, ON A VARIETY OF MATTERS. FORM 990, PART VI, SECTION A, LINE 7B SEE ABOVE FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS COMPLETED BY KPMG. THE 990 RETURN IS REVIEWED AND APPROVED BY THE DIRECTOR OF FINANCE AND THE CFO. ELECTRONIC COPIES OF THE RETURN ARE PROVIDED FOR REVIEW TO ALL BOARD MEMBERS PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE INVESTMENT AND AUDIT COMMITTEE OF THE BOARD IS CHARGED WITH MONITORING PROPOSED OR ON-GOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND ADDRESSING ANY POTENTIAL OR ACTUAL CONFLICTS. PURSUANT TO THE CONFLICT OF INTEREST POLICY, AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE, AIMED AT DETERMINING ANY FAMILY AND BUSINESS RELATIONSHIPS AND TRANSACTIONS, OR OTHER TRANSACTIONS THAT MAY POSE A POTENTIAL CONFLICT, IS DISTRIBUTED TO ALL COVERED PERSONS (I.E. BOARD MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP OR KEY EMPLOYEES). COVERED PERSONS ARE REQUIRED TO DISCLOSE REAL OR POTENTIAL CONFLICTS AT THE TIME WHEN SUCH CONFLICTS ARISE. WHEN SOMEONE BECOMES A COVERED PERSON AND ANNUALLY THEREAFTER, THEY ARE REQUIRED TO EXPLICITLY ACKNOWLEDGE A STATEMENT AFFIRMING THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (2) HAS READ THE POLICY AND UNDERSTANDS SAID POLICY; AND(3) AGREES TO COMPLY WITH ALL REQUIREMENTS OF THE POLICY, INCLUDING COMPLETING THE CONFLICT OF INTEREST QUESTIONNAIRE, IF ANY CONFLICTS EXIST. THE COMPLETED QUESTIONNAIRES THAT NOTE ANY CONFLICTS ARE REVIEWED BY THE BOARD AND ANY PERSONS WITH ACTUAL OR POTENTIAL CONFLICTS ARE INFORMED OF ANY ACTION VIA WRITTEN COMMUNICATION. THE PROCEDURES FOR ADDRESSING ANY CONFLICT OF INTEREST INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED TO THE BOARD; (2) THE INTERESTED PERSON RESPONDS TO FACTUAL QUESTIONS RELATED TO THE SUBSTANCE OF THE TRANSACTION OR ARRANGEMENT BEING CONSIDERED, AFTER WHICH HE/SHE SHALL LEAVE THE MEETING; (3) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (4) ALTERNATIVES TO THE PROPOSED TRANSACTION ARE INVESTIGATED, COMPETITIVE BIDS OR COMPARABLE VALUATIONS ARE OBTAINED IF DEEMED APPROPRIATE; (5) CONFLICTING ISSUES DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED ARE REFERRED TO THE GOVERNANCE AND NOMINATING COMMITTEE; AND (6) THE TRANSACTION OR ACTION MUST BE APPROVED BY A MAJORITY OF DISINTERESTED PERSONS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE COMPENSATED BY DDWA. THE BOARD APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD (THE HRCC), NONE OF WHOM MAY HAVE A CONFLICT OF INTEREST WITH RESPECT TO ANY COMPENSATION ARRANGEMENTS, TO BE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR THE CEO. THE HRCC DEVELOPED, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EMPLOYEES. THE HRCC ALSO HIRES A QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALIST (INDEPENDENT EXPERT) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFIT PACKAGES OF OFFICERS AND KEY EMPLOYEES. APPROPRIATE COMPARABILITY DATA IS OBTAINED FROM THE INDEPENDENT EXPERT, I.E., TOTAL ECONOMIC BENEFITS PAID BY SIMILAR SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT) FOR SIMILAR JOB RESPONSIBILITIES. THE HRCC'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENTS WITH THE OFFICERS AND KEY EMPLOYEES (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DISCUSSION ON ANY ARRANGEMENTS; AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED UPON BY THE HRCC. KEY DELIBERATIONS OF THE HRCC ARE ALSO DOCUMENTED IN MINUTES WHICH ARE APPROVED AT THE NEXT HRCC MEETING. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN 2024 FOR DIRECTORS AND SMT, AND INCLUDED THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHAIR, VICE CHAIR, SECRETARY, TREASURER, OTHER C-LEVEL EXECUTIVES AND OTHER VICE PRESIDENT ROLES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND DISCLOSURES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART VII SECTION A LINE 1A THE FOLLOWING DIRECTORS ALSO RECEIVED CLINICAL REIMBURSEMENTS IN ADDITION TO THEIR DIRECTOR'S FEES, THE TOTAL OF WHICH IS REPORTED IN COLUMN E - REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS. RUTHERFORD, EVE M. - $1,347,828 TOTAL DIRECTOR FEE - $204,480 CLINICAL REIMBURSEMENT - $1,143,348 HAKES, KATHERINE - $1,111,386 TOTAL DIRECTOR FEE - $149,516 CLINICAL REIMBURSEMENT - $961,870 PICKEL, CHRISTOPHER - $554,305 TOTAL DIRECTOR FEE - $149,650 CLINICAL REIMBURSEMENT - $404,655 BRADSHAW, DENNIS - $346,956 TOTAL DIRECTOR FEE - $139,668 CLINICAL REIMBURSEMENT - $207,288 FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 158,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,447. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,274,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,274,669. LOBBYING & GOVT AFFAIRS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 192,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 192,400. FORM 990, PART XI, LINE 9: DISTRIBUTION FROM DELTA DENTAL OF WASHINGTON 25,907,566. FORM 990, PART XI LINE 9, CHANGES IN NET ASSETS ON AUGUST 2, 2024 DELTA DENTAL OF WASHINGTON DISTRIBUTED $15,700,000 IN CASH AND CASH EQUIVALENTS TO ITS SOLE MEMBER WASHINGTON DENTAL SERVICE AND $10,207,566 IN 12/31/24 FOR THE SOFTWARE AND COMPUTER ASSETS DISTRIBUTION TO TRIFORZA CORP. INSTITUTE OF ORAL HEALTH 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 270937829 ORAL HEALTH EDUCATION WA 0 12223 WDS WDS HOLDINGS LLC 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 270937829 INV ORAL HEALTH WA 109468 567510 WDS SPRINGROCK VENTURES LLC 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 474046990 INV ORAL HEALTH WA 165525 11634256 WDS SRV2 LLC 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 290937829 LP IN SRVII WA 59262 18577774 WDS SRV3 LLC 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 270937829 LP IN SRVIII WA -485290 2814710 WDS DELTA DENTAL OF WASHINGTON 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 910621480 ORAL/GEN HEALTH WA 501(C)(4) WDS 1 WASHINGTON DENTAL SERVICE FUND 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 911281990 ORAL HEALTH EDUCATION WA 501(C)(3) LINE 10 DDWA 1 SPRINGROCK VENTURES II LP 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 851520667 INVEST ORAL HEALTH DE SRMC RELATED 285541 18708885 0 1 0.40820 SPRINGROCK VENTURES III LP 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 991828881 INVEST ORAL HEALTH DE SRMC RELATED 23522 2942083 0 1 0.55560 SPRINGROCK MANAGEMENT COMPANY (SRMC) 2001 6TH AVE SUITE 3400 SEATTLE WA 98101 851502581 MGMT/GP IN SRV II WA WDS C 1490000 849459 1.00000 1 TRIFORZA CORP 400 FAIRVIEW AVENUE N SUITE 800 SEATTLE WA 98109 DENTAL BENEFITS TECH SERVICES WA WDS C 1.00000 1 8 WEST REVOLUTION TECHNOLOGIES LIMITED BLDG 1 UNIV TECHNOLOGY CENTRE CU CORK EI T12 AY18 CONSULTING AND SOFTWARE DEVELOPMENT COMPANY EI WDS C 3764000 8368500 0.50000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 DELTA DENTAL OF WASHINGTON P 72924 BOOK DELTA DENTAL OF WASHINGTON O 6306168 BOOK DELTA DENTAL OF WASHINGTON S 25907566 FMV