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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
DELTA DENTAL OF OKLAHOMA FOUNDATION
 
Employer identification number
27-4417052
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) AMERICA'S TOOTHFAIRY NATIONAL CHILDREN'S ORAL HEALTH FOUNDATION
4108 PARK RD STE 300
CHARLOTTE,NC28209 		20-3921574 501C3 11,000 0     EDUCATIONAL
(2) CATHOLIC CHARITIES DIOCESE OF TULSA
2450 N HARVARD AVE
TULSA,OK74115 		73-1171950 501C3 130,000 0     DENTAL CARE PROGRAM
(3) COMPASSION OUTREACH CENTER INC
1124 CRADDUCK ROAD
ADA,OK74820 		90-0148536 501C3 50,000 0     DENTAL CARE PROGRAM
(4) CROSSINGS COMMUNITY CLINIC
10255 N PENNSYLVANIA AVE
OKLAHOMA CITY,OK73120 		86-1115863 501C3 186,500 0     DENTAL CARE PROGRAM
(5) D-DENT
3000 UNITED FOUNDERS BLVD STE 122
OKLAHOMA CITY,OK73112 		73-1325324 501C3 150,000 0     EDUCATIONAL
(6) DENTAL LIFELINE NETWORK
1800 15TH ST STE 100
DENVER,CO80202 		84-6129064 501C3 15,000 0     DENTAL CARE PROGRAM
(7) EASTERN OKLAHOMA DONATED DENTAL SERVICES
9810 E 42ND ST STE 210
TULSA,OK74146 		41-2103655 501C3 140,000 0     DENTAL CARE PROGRAM
(8) HEALTHCORPS INC
PO BOX 371
NEW YORK,NY10276 		26-1269358 501C3 10,000 0     EDUCATIONAL
(9) HEARTS THAT CARE VOLUNTEER HEALTH CLINIC
304 SW A AVE
LAWTON,OK73501 		20-8373475 501C3 10,000 0     DENTAL CARE PROGRAM
(10) HNC LIVING FOUNDATION
8100 NEWTON ST STE 100
OVERLAND PARK,KS66204 		46-4214254 501C3 50,000 0     DENTAL CARE PROGRAM
(11) MINISTRIES OF JESUS INC
1100 E I-35 SERVICE ROAD
EDMOND,OK73034 		73-1622804 501C3 61,000 0     DENTAL CARE PROGRAM
(12) MORTON COMPREHENSIVE HEALTH SERVICE
1334 N LANSING AVE
TULSA,OK74106 		73-1177858 501C3 16,000 0     DENTAL CARE PROGRAM
(13) NEIGHBORHOOD SERVICES ORGANIZATION
431 SW 11TH ST
OKLAHOMA CITY,OK73109 		73-0785944 501C3 135,000 0     DENTAL CARE PROGRAM
(14) NWOSU FOUNDATION INC
709 OKLAHOMA BLVD
ALVA,OK73717 		73-0947945 501C3 25,000 0     EDUCATIONAL
(15) OKLAHOMA DENTAL FOUNDATION
317 NE 13TH ST
OKLAHOMA CITY,OK73104 		73-0678114 501C3 100,000 0     DENTAL CARE PROGRAM
(16) PANHANDLE STATE FOUNDATION
PO BOX 430
GOODWELL,OK73939 		73-1019001 501C3 25,000 0     EDUCATIONAL
(17) REMERGE OF OK COUNTY INC
PO BOX 2845
OKLAHOMA CITY,OK73101 		46-4504748 501C3 17,500 0     DENTAL CARE PROGRAM
(18) ROGERS STATE UNIVERSITY FOUNDATION
1701 WEST WILL ROGERS BLVD
CLAREMORE,OK74107 		73-0957262 501C3 25,000 0     EDUCATIONAL
(19) RURAL HEALTH NETWORK OF OKLAHOMA
1405 E KIRK ST
HUGO,OK74743 		46-2917154 501C3 60,000 0     DENTAL CARE PROGRAM
(20) SMILE FOR GOOD FOUNDATION
1050 E 2ND ST STE 234
EDMOND,OK73034 		84-3288491 501C3 10,000 0     DENTAL CARE PROGRAM
(21) SOUTHERN OKLAHOMA TECHNOLOGY CENTER
2610 SAM NOBLE PARKWAY
ARDMORE,OK73401 		73-1019541 501C3 6,000 0     DENTAL CARE PROGRAM
(22) STERLING ANGEL OF SMILES NONPROFIT ORGANIZATION
PO BOX 891330
OKLAHOMA CITY,OK73189 		47-1915858 501C3 25,000 0     DENTAL CARE PROGRAM
(23) TRI COUNTY TECH CENTER
6101 SE NOWATA
BARTLESVILLE,OK74006 		73-1188682 501C3 6,000 0     DENTAL CARE PROGRAM
(24) UNIVERSITY OF OKLAHOMA FOUNDATION INC
100 TIMBERDELL ROAD
NORMAN,OK73019 		73-6091755 501C3 774,500 0     EDUCATIONAL
(25) VARIETY CARE FOUNDATION
3000 N GRAND BLVD
OKLAHOMA CITY,OK73107 		73-1088577 501C3 15,511 0     DENTAL CARE PROGRAM
(26) WATERROCK MINISTRIES INC
PO BOX 22741
OKLAHOMA CITY,OK73112 		45-1165200 501C3 10,000 0     DENTAL CARE PROGRAM
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
26
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2023
Page 2

Schedule I (Form 990) 2023
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: GRANTEES MUST MEET FOUR ELIGIBILITY REQUIREMENTS IN ORDER TO BE AWARDED A GRANT. FIRST, THE ORGANIZATION SEEKING THE GRANT MUST BE A 501(C)(3) NONPROFIT ORGANIZATION WITH PUBLIC CHARITY STATUS, AN EDUCATIONAL INSTITUTION, A GOVERNMENT AGENCY, OR A FAITH-BASED ORGANIZATION THAT SERVES ALL MEMBERS OF THE COMMUNITY REGARDLESS OF RELIGIOUS BELIEF. WE DO NOT AWARD GRANTS TO INDIVIDUALS. SECOND, THE PROGRAM, PROJECT OR INITIATIVE BEING FUNDED MUST BE DENTAL HEALTH OR EDUCATION RELATED. THIRD, THE PROGRAM CANNOT DISCRIMINATE ON THE BASIS OF RACE, ETHNICITY, NATIONAL ORIGIN, OR RELIGION. FOURTH, THE PROGRAM MUST SERVE OKLAHOMANS. THE ORGANIZATION MONITORS TO ENSURE THAT THE CHARITABLE PURPOSES ARE SATISFIED AND REQUIRES DETAILED SUPPORTING DOCUMENTATION FROM THE RECIPIENT ORGANIZATION TO CONFIRM USE AND VALUE OF SERVICES RENDERED.
Schedule I (Form 990) 2023



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