Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DELTA DENTAL OF VIRGINIA IS A NON-STOCK CORPORATION ORGANIZED UNDER TITLE 13.1 OF THE CODE OF VIRGINIA. CORVESTA, INC. IS THE SOLE MEMBER OF DDVA AS DEFINED IN SECTION 13.1-803 OF THE CODE OF VIRGINIA. CORVESTA'S MEMBERS ARE DDVA'S PARTICIPATING DENTISTS AND ITS DIRECTORS AT DECEMBER 31, 2010. SUBSEQUENTLY, IN 2011, CORVESTA CHANGED TO A NON-MEMBER ENTITY AND NOTICE WAS FILED WITH THE IRS. BOTH DDVA AND CORVESTA ARE IRC 501(C)(4) CORPORATIONS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS ELECT THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER VOTES ON QUESTIONS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; AND AMENDING THE ARTICLES OF INCORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | MEMBERS OF THE BOARD OF DIRECTORS WILL REVIEW THE DOCUMENT WITH SENIOR MANAGEMENT MEMBERS. THE REVIEW WILL BE DOCUMENTED AT THE BOARD MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND VICE PRESIDENTS COMPLETE CONFLICT OF INTEREST FORMS ANNUALLY. THE BOARD CHAIRMAN REVIEWS THE DIRECTORS' FORMS, THE NOMINATING COMMITTEE CHAIRMAN REVIEWS THE BOARD CHAIRMAN'S AND THE PRESIDENT REVIEWS THE VICE PRESIDENT'S FORMS. ALL ARE FILED IN THE CORPORATE MINUTE BOOK WHICH IS REVIEWED BY OUR AUDITORS AND THE BOI. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD HAS BEEN DELEGATED RESPONSIBILITY FOR SETTING SENIOR EXECUTIVE COMPENSATION AND BENEFITS. THE EXECUTIVE COMPENSATION COMMITTEE'S MEMBERS ARE DDVA OUTSIDE DIRECTORS. THEY MUST BE INDEPENDENT OF MANAGEMENT AND FREE OF ANY RELATIONSHIPS THAT, IN THE OPINION OF THE BOARD OF DIRECTORS, WOULD INTERFERE WITH THE EXERCISE OF THEIR INDEPENDENT JUDGEMENT AS COMMITTEE MEMBERS WITH RESPECT TO THE TRANSACTIONS AND OTHER MATTERS THAT THEY ARE CALLED UPON TO EVALUATE. THE COMMITTEE HAS ENGAGED AND USES AN OUTSIDE, INDEPENDENT SENIOR EXECUTIVE COMPENSATION EXPERT TO ASSIST IN ESTABLISHING SENIOR EXECUTIVE COMPENSATION AND BENEFITS. THE OUTSIDE CONSULTANT PROVIDES, AMONG OTHER INFORMATION AND ADVICE, COMPARABLE DATA (FORM 990 AND OTHER COMPENSATION STUDIES) OF PEER ORGANIZATIONS. THIS COMMITTEE MEETS BETWEEN 3 AND 4 TIMES PER YEAR. MINUTES OF ALL MEETINGS ARE KEPT IN ACCORDANCE WITH IRS GUIDELINES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE APPLICABLE FORMS ARE AVAILABLE FOR PUBLIC INSPECTION VIA REQUEST AND REGULATORY FILINGS. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 3,317,915. REALIZED GAINS FROM SALES OF MARKETABLE SECURITIES -385,304. OTHER-THAN-TEMPORARY IMPAIRMENT LOSS ON NONMARKETABLE SECURITIES -2,680,670. SURPLUS TRANSFER TO HOLDING COMPANY -15,057,852. TOTAL TO FORM 990, PART XI, LINE 5: -14,805,911. |
| FORM 990, PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES TO DELTA DENTAL OF VIRGINIA'S OVERSITE PROCESS OF THE AUDIT OR ITS SELECTION OF AN INDEPENDENT AUDITOR. |
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