FORM 990 - ORGANIZATION'S MISSION |
THE COMMUNITY DENTAL CLINIC PROVIDES ACCESS TO COMPREHENSIVE AND PREVENTATIVE DENTAL HEALTHCARE THROUGH VOLUNTEERISM AND COMMUNITY PARTNERSHIPS SERVING VERY LOW INCOME ADULTS(STRUGGLING AT 200% AND BELOW THE FEDERAL POVERTY LEVEL) AND DEVELOPMENTALLY DISABLED ADULTS REGARDLESS OF RACE, ETHNICITY, GENDER AND DISABILITY. |
FORM 990, PAGE 1, PART I, LINE 6 |
DENTIST VOLUNTEER TIME AND EXPERTISE FOR CORRECTIVE DENTISTRY PROCEDURES. OTHER VOLUNTEERS PERFORM ADMINISTRATIVE FUNCTIONS; ON FREE DENTAL SCREENING DAYS VARIOUS VOLUNTEERS GUIDE NEW PATIENTS THROUGH A SERIES OF REQUIRED STEPS TO BECOME PATIENTS OF THE CLINIC. |
FORM 990, PART VI |
LINE 19 PROVIDES FINANCIAL INFORMATION, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ON REQUEST. SECTION B. POLICIES LINE 13 - A PLAN IS IN THE PROCESS OF BEING IMPLEMENTED SECTION B POLICIES LINE 14-A PLAN IS IN THE PROCESS OF BEING IMPLEMENTED PART VII, OFFICERS, ETC - ALL OFFICERS, DIRECTORS AND EMPLOYEES RESIDE LOCALLY AND CAN BE REACHED THROUGH THE TREASURER'S OFFICE OR DIRECTLY |
FORM 990, PAGE 6, PART VI, LINE 9 |
ALLISON SAPIEGA 103 ARLINGTON AVENUE EAST OLDSMAR, FL 34677 STEVE HELLER 3117 HARVEST MOON DR PALM HARBOR, FL 34683 C ALLEN KYNES 265 EDGEWATER DRIVE DUNEDIN, FL 34698 JEANNIE SHAPIRO 308 HICKORY LAND LARGO, FL 33756 WILLIAM D LAYMAN DDS DMD 501 S MISSOURI AVE CLEARWATER, FL 33756 ROWLAND MILAM 1828 VENETIAN PT DR CLEARWATER, FL 33755 JAMES PITTS, DMD 102 CARLYLE DR PALM HARBOR, FL 34683 R PAUL UMBERG 210 PINE ROAD BELLEAIR, FL 33756 JAMES R HAYSLETT DDS 2226 DRUID ROAD E CLEARWATER, FL 33764 ELIZABETH J HARVARD 4 BELLEVIEW BLVD, APT 305 BELLEAIR, FL 33756 J HUNTER ORR 3005 SUNSET DRIVE BELLEAIR BLUFFS, FL 37770 |
FORM 990, PAGE 6, PART VI, LINE 11B |
PROVIDED COPY TO BOARD MEMBERS FOR COMMENT. |
FORM 990, PAGE 6, PART VI, LINE 12C |
MONTHLY CONFLICT OF INTEREST ON EACH MEETING AGENDA AND RECORDED IN MINUTES; MEETINGS GENERALLY MONTHLY. |
FORM 990, PAGE 6, PART VI, LINE 15A |
DETERMINED BY CHAIR AND SECRETARY WITH KNOWLEDGE OF MARKETPLACE SALARIES; DISCUSSION WITH BOARD MEMBERS AND ULTIMATELY APPROVED BY BOARD VOTE. |
FORM 990, PAGE 6, PART VI, LINE 19 |
NO DOCUMENTS AVAILABLE TO THE PUBLIC |
FORM 990, PART IX, LINE 11G |
DENTAL STAFFING 4,786 0 0 DENTAL SUPPLIES 18,359 0 0 DENTAL ASST 4,104 0 0 TAXES 0 428 0 SECURITY 0 256 85 CLEANING 0 700 0 REPAIRS 0 1,710 0 DENTAL SCREENING DAY EXPENSES 342 0 0 PROFESSIONAL FEES 3,000 0 0 |