SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
DELTA DENTAL OF OKLAHOMA FOUNDATION
 
Employer identification number

27-4417052
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)DELTA DENTAL PLAN OF OKLAHOMA
PO BOX 54709

OKLAHOMA CITY,OK73116
23-7322578 		DENTAL CARE OK 501(C)(4) N/A N/A
 
No
(2)CATHOLIC CHARITIES DIOCESE OF TULSA
2450 N HARVARD AVE

TULSA,OK74115
73-1171950 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 1 N/A
 
No
(3)CITY CARE INC
2000 N CLASSEN BLVD STE N50

OKLAHOMA CITY,OK73106
73-1497381 		DENTAL CARE OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(4)CITY RESCUE MISSION
800 W CALIFORNIA AVE

OKLAHOMA CITY,OK73106
73-0713883 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(5)COMMUNITY HEALTH CONNECTION
2321 E 3RD ST

TULSA,OK74104
04-3766364 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(6)COMPASSION OUTREACH CENTER INC
1124 CRADDUCK ROAD

ADA,OK74820
90-0148536 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(7)CROSSINGS COMMUNITY CLINIC
10255 N PENNSYLVANIA AVE

OKLAHOMA CITY,OK73120
86-1115863 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 3 N/A
 
No
(8)D-DENT
3000 UNITED FOUNDERS BLVD STE 122

OKLAHOMA CITY,OK73112
73-1325324 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(9)DENTAL LIFELINE NETWORK
1800 15TH ST STE 100

DENVER,CO80202
84-6129064 		DENTAL CARE CO 501(C)(3) LINE 10 - AN ORGANIZ N/A
 
No
(10)EASTERN OKLAHOMA DONATED DENTAL SERVICES
9810 E 42ND ST STE 210

TULSA,OK74146
41-2103655 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(11)FAMILY & CHILDREN'S SERVICES INC
1055 S HOUSTON AVE

TULSA,OK74127
73-0580270 		DENTAL CARE OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(12)GATEWAY TO PREVENTION & RECOVERY INC
PO BOX 3848

SHAWNEE,OK74802
73-1215510 		DENTAL CARE OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(13)GOOD SHEPHERD COMMUNITY CLINIC INC
20 12TH AVE NW

ARDMORE,OK73401
73-1509801 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(14)GOOD SHEPHERD MINISTRIES OF OKLAHOMA
222 NW 12TH

OKLAHOMA CITY,OK73103
20-0526892 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(15)GREEN COUNTRY FREE CLINIC
500 SE FRANK PHILLIPS BLVD

BARTLESVILLE,OK74003
73-1363792 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(16)HEART AND HAND MINISTRIES
1308 NW 9TH ST

OKLAHOMA CITY,OK73106
73-1521227 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 10 - AN ORGANIZ N/A
 
No
(17)HNC LIVING FOUNDATION
8100 NEWTON ST STE 100

OVERLAND PARK,KS66204
46-4214254 		DENTAL CARE KS 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(18)MAMA T'S INC
222 E 12TH ST

ADA,OK74820
47-4096424 		DENTAL CARE OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(19)MINISTRIES OF JESUS INC
1100 E I-35 SERVICE ROAD

EDMOND,OK73034
73-1622804 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(20)MORTON COMPREHENSIVE HEALTH SERVICE
1334 N LANSING AVE

TULSA,OK74106
73-1177858 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 3 N/A
 
No
(21)NEIGHBORHOOD SERVICES ORGANIZATION
431 SW 11TH ST

OKLAHOMA CITY,OK73109
73-0785944 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(22)NORMAN REGIONAL HEALTH FOUNDATION
901 N PORTER AVE

NORMAN,OK73071
73-1203942 		DENTAL CARE OK 501(C)(3) LINE 7 N/A
 
No
(23)OKLAHOMA DENTAL FOUNDATION
317 NE 13TH ST

OKLAHOMA CITY,OK73104
73-0678114 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 10 N/A
 
No
(24)RED ROCK BEHAVIORAL HEALTH SERVICES
4400 N LINCOLN BLVD

OKLAHOMA CITY,OK73105
73-6111618 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(25)REMERGE OF OK COUNTY INC
PO BOX 2845

OKLAHOMA CITY,OK73101
46-4504748 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(26)SMILE FOR GOOD FOUNDATION
1050 E 2ND ST STE 234

EDMOND,OK73034
84-3288491 		DENTAL CARE OK 501(C)(3) LINE 10 - AN ORGANIZ N/A
 
No
(27)SOUTHERN OKLAHOMA TECHNOLOGY CENTER
2610 SAM NOBLE PARKWAY

ARDMORE,OK73401
73-1019541 		EDUCATIONAL OK 501(C)(3) LINE 5 - AN ORGANIZA N/A
 
No
(28)SOUTHWESTERN OKLAHOMA STATE UNIVERSITY
100 CAMPUS DR

WEATHERFORD,OK73096
73-1024870 		EDUCATIONAL OK 501(C)(3) LINE 5 - AN ORGANIZA N/A
 
No
(29)STERLING ANGEL OF SMILES NONPROFIT ORGANIZATION
PO BOX 891330

OKLAHOMA CITY,OK73189
47-1915858 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(30)TRI COUNTY TECH CENTER
6101 SE NOWATA

BARTLESVILLE,OK74006
73-1188682 		EDUCATIONAL OK 501(C)(3) LINE 5 - AN ORGANIZA N/A
 
No
(31)UNIVERSITY OF OKLAHOMA FOUNDATION INC
100 TIMBERDELL ROAD

NORMAN,OK730190685
73-6091755 		EDUCATIONAL OK 501(C)(3) LINE 7 N/A
 
No
(32)UNIVERSITY OF SCIENCE AND ARTS OF OKLAHOMA
1727 WEST ALABAMA

CHICKASHA,OK73018
73-1031040 		EDUCATIONAL OK 501(C)(3) LINE 7 - AN ORGANIZA N/A
 
No
(33)VARIETY CARE FOUNDATION
3000 N GRAND BLVD

OKLAHOMA CITY,OK73107
73-1088577 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(34)WESTERN OKLAHOMA FAMILY CARE CENTER
609 W E AVE

ELK CITY,OK73648
26-1284785 		HEALTH AND HUMAN SERVICES OK 501(C)(3) LINE 7 N/A
 
No
(35)WESTERN TECHNOLOGY CENTER
2605 E MAIN ST

WEATHERFORD,OK73096
73-1105189 		EDUCATIONAL OK 501(C)(3) LINE 5 - AN ORGANIZA N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) DELTA DENTAL OF OK DENTAL PRACTICE SUPPORT INC

PO BOX 54709
OKLAHOMA CITY,OK73154
46-1958347 		SUPPORT SERVICES OK N/A
 C       Yes  












Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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