Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
DELTA DENTAL COMMUNITY CARE FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)100 FIRST STREET   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAN FRANCISCO, CA94105
A Employer identification number

37-1570764
B Telephone number (see instructions)

(415) 972-8300
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,157,184J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,700,000
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities......      
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10  
b Gross sales price for all assets on line 6a  
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,700,000 0 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 0 0 0 0
25 Contributions, gifts, grants paid........ 1,985,000 1,985,000
26 Total expenses and disbursements. Add lines 24 and 25 1,985,000 0 0 1,985,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -285,000
b Net investment income (if negative, enter -0-) 0
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 452,184 1,157,184 1,157,184
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 452,184 1,157,184 1,157,184
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................   990,000
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 990,000
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................ 452,184 167,184
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 452,184 167,184
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 452,184 1,157,184
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 452,184
2 Enter amount from Part I, line 27a..................... 2 -285,000
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 167,184
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 167,184
Form 990-PF (2013)
Form 990-PF (2013)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . . 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2012 1,670,000 0 0.000000
2011 268,399 0 0.000000
2010 0 0 0.000000
2009      
2008      
2 Total of line 1, column (d) ...................... 2 0.000000
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.000000
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5 0
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 0
7 Add lines 5 and 6......................... 7 0
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,985,000
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2013)
Form 990-PF (2013)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 0
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 0
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 0
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 0
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletHTTP://DDCCF.COM
    14
    The books are in care ofbulletMICHAEL J CASTRO TREASURER Telephone no.bullet (415) 972-8300
    Located atbullet100 FIRST STREETSAN FRANCISCOCA ZIP+4bullet94105
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
    foreign country bullet  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2013?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If "Yes," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2013.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2013?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    GARY D RADINE PRESIDENT
    1.00     		0 0 0
    100 FIRST STREET
    SAN FRANCISCO,CA94105
    MICHAEL J CASTRO TREASURER
    1.00     		0 0 0
    100 FIRST STREET
    SAN FRANCISCO,CA94105
    CHARLES LAMONT ESQ SECRETARY
    1.00     		0 0 0
    100 FIRST STREET
    SAN FRANCISCO,CA94105
    ANTHONY S BARTH DIRECTOR
    1.00     		0 0 0
    100 FIRST STREET
    SAN FRANCISCO,CA94105
    JOHN M YAMAMOTO DDS DIRECTOR
    1.00     		0 0 0
    100 FIRST STREET
    SAN FRANCISCO,CA94105
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    0
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
     
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    0
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    0
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    0
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    0
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 0
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010....... 181,250
    d From 2011....... 268,399
    e From 2012....... 1,670,000
    fTotal of lines 3a through e......... 2,119,649
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 1,985,000
    a Applied to 2012, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2013 distributable amount..... 0
    e Remaining amount distributed out of corpus 1,985,000
    5 Excess distributions carryover applied to 2013. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 4,104,649
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		4,104,649
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010.... 181,250
    c Excess from 2011.... 268,399
    d Excess from 2012.... 1,670,000
    e Excess from 2013.... 1,985,000
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    GARY D RADINE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ACCESS FAMILY HEALTH SERVICES INC - DENTAL CLINIC
    60024 OLIVE STREET
    SMITHVILLE,MS38870     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ACCESS HEALTH LOUISIANAST CHARLES COMMUNITY HEALTH CENTER
    843 MILLING AVENUE
    LULING,LA70070     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ALBANY AREA PRIMARY HEALTH CARE INCWEST ALBANY DENTAL & MEDICAL CENTER
    204 NORTH WESTOVER BOULEVARD
    ALBANY,GA31707     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ALBERT EINSTEIN MEDICAL CENTER
    5501 OLD YORK ROAD
    PHILADELPHIA,PA19141     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ALTOONA REGIONAL PARTNERSHIP FOR A HEALTHY COMMUNITY
    501 HOWARD AVENUE SUITE D103
    ALTOONA,PA16601     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    AMITE COUNTY MEDICAL SERVICES INCLIBERTY DENTAL SERVICES
    102 WEST FREEDOM DRIVE PO BOX 511
    LIBERTY,MS39645     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    AMPLA HEALTH
    935 MARKET STREET
    YUBA CITY,CA95991     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ANN SILVERMAN COMMUNITY HEALTH CLINIC
    595 WEST STATE STREET
    DOYLESTOWN,PA18901     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ARROYO VISTA FAMILY HEALTH CENTER
    6000 NORTH FIGUEROA STREET
    LOS ANGELES,CA90042     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BARNABAS CENTER INC - DENTAL CLINIC
    11 SOUTH 11TH STREET
    FERNANDINA BEACH,FL32034     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER INCCOMMUNICARE HEALTH CEN
    3066 EAST COMMERCE STREET
    SAN ANTONIO,TX78220     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BEAR LAKE COMMUNITY HEALTH CENTER
    1515 NORTH 400 EAST
    NORTH LOGAN,UT84341     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BERMUDIAN SPRINGS SCHOOL DISTRICTELEMENTARY SCHOOL - DENTAL HEALTH SUITE
    7335 CARLISLE PIKE
    YORK SPRINGS,PA17372     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BIRMINGHAM HEALTH CARE INCNORTHSIDE DENTAL CLINIC
    1333 19TH STREET NORTH
    BIRMINGHAM,AL35020     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BRADFORD COUNTY DENTAL HEALTH SERVICES INC
    1 ELIZABETH STREET SUITE 6
    TOWANDA,PA18848     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BRANDON OUTREACH CLINIC INC
    517 NORTH PARSONS AVENUE
    BRANDON,FL33511     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BREVARD HEALTH ALLIANCE
    3661 SOUTH BABCOCK STREET
    MELBOURNE,FL32901     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BROWNSVILLE MULTI-SERVICE FAMILY HEALTH CENTER
    592 ROCKAWAY AVENUE
    BROOKLYN,NY11212     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BUTTE COMMUNITY HEALTH CENTER
    445 CENTENNIAL AVENUE
    BUTTE,MT59701     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    BUTTE VALLEY HEALTH CENTERMOUNTAIN VALLEY HEALTH CENTERS
    PO BOX 277
    BIEBER,CA96009     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CARE RESOURCECOMMUNITY AIDS RESOURCE INC
    3510 BISCAYNE BOULEVARD SUITE 300
    MIAMI,FL33137     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CATHOLIC CHARITIES HEALTH CARE CENTER INC
    212 NINTH STREET
    PITTSBURGH,PA15222     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CENTRAL CALIFORNIA DENTAL SURGICENTERCASTLE SURGICENTER
    3605 HOSPITAL ROAD SUITE H
    ATWATER,CA95301     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INCJACKSON-HINDS COMPR
    3502 WEST NORTHSIDE DRIVE
    JACKSON,MS39213     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CENTRE VOLUNTEERS IN MEDICINE
    2520 GREEN TECH DRIVE SUITE D
    STATE COLLEGE,PA16803     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CHASE BREXTON HEALTH SERVICES INC
    1001 CATHEDRAL STREET
    BALTIMORE,MD21201     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CHESTER COUNTY COMMUNITY DENTAL CENTER
    744 EAST LINCOLN HIGHWAY
    COATESVILLE,PA19320     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CHRIST COMMUNITY HEALTH SERVICES AUGUSTA INC
    PO BOX 2644
    AUGUSTA,GA30903     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CLAY-BATTELLE COMMUNITY HEALTH CENTER
    5861 MASON DIXON HIGHWAY PO BOX 72
    BLACKSVILLE,WV26521     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CLINICAS DEL CAMINO REAL INC
    200 SOUTH WELLS ROAD SUITE 200
    VENTURA,CA93004     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CLINTON COUNTY COMMUNITY DENTAL CLINIC
    266 HOGAN BOULEVARD SUITE 6
    MILL HALL,PA17751     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY DENTAL CLINIC INC
    200 ORANGEWOOD DRIVE
    DUNEDIN,FL34698     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH AND DENTAL CARE INC
    11 ROBINSON STREET SUITE 100
    POTTSTOWN,PA19464     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CENTER OF LUBBOCK INC
    1313 BROADWAY SUITE 5
    LUBBOCK,TX79401     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CENTER INC
    6289 VETERANS MEMORIAL HIGHWAY
    SUITE 12C
    AUSTELL,GA30168     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC
    228 ST GEORGE STREET
    GONZALES,TX78629     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC
    150 TEJAS PLACE PO BOX 430
    NIPOMO,CA93444     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CENTERS INC
    110 SOUTH WOODLAND STREET
    WINTER GARDEN,FL34787     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CLINIC OF BUTLER COUNTY
    103 BONNIE DRIVE
    BUTLER,PA16002     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CLINIC OLESISTER ANN DENTAL CLINIC
    1141 PEAR TREE LANE SUITE 100
    NAPA,CA94558     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH CLINIC INC
    943 FOURTH AVENUE
    NEW KENSINGTON,PA15068     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH DEVELOPMENT INC
    908 SOUTH EVANS STREET BLDG A
    UVALDE,TX78801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTH SERVICE AGENCY INC
    4500 WESLEY STREET
    GREENVILLE,TX75402     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY HEALTHCARE NETWORK INC
    60 MADISON AVENUE 5TH FLOOR
    NEW YORK,NY10010     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    COMMUNITY OF HOPE INC - DENTAL CLINIC
    1717 MASSACHUSETTS AVENUE NW SUITE
    805
    WASHINGTON,DC20036     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CORNERSTONE CARE INC
    1227 SMITH TOWNSHIP STATE ROAD
    BURGETTSTOWN,PA15021     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CRESCENT PARK DENTAL CLINIC
    2 CRESCENT PARK WEST
    WARREN,PA16365     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CROSS TIMBERS HEALTH CLINICS INC
    1100 WEST REYNOSA STREET
    DELEON,TX76444     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    CURTIS V COOPER PRIMARY HEALTH CARE INC
    106 EAST BROAD STREET
    SAVANNAH,GA31402     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    DIENTES COMMUNITY DENTAL CARE
    1830 COMMERCIAL WAY
    SANTA CRUZ,CA95065     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    DOCTOR'S VOLUNTEER CLINIC OF ST GEORGE
    1036 EAST RIVERSIDE DRIVE
    ST GEORGE,UT84790     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    EAST CENTRAL MISSISSIPPI HEALTH CARESEBASTOPOL DENTAL CLINIC
    1488 HIGHWAY 487 EAST
    SEBASTOPOL,MS39359     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    EAST GEORGIA HEALTHCARE CENTER INC
    215 NORTH COLEMAN STREET
    SWAINSBORO,GA30401     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    EAST TEXAS COMMUNITY HEALTH SERVICES INC
    1210 DOUGLASS ROAD PO BOX 632040
    NACOGDOCHES,TX75963     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    EASTERN SHORE MISSION OF MERCY
    1411 WESLEY DRIVE
    SALISBURY,MD21801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 15,000
    EBENEZER MEDICAL OUTREACH INC
    1448 10TH AVENUE
    HUNTINGTON,WV25701     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    EL CENTRO DE CORAZON
    PO BOX 230209
    HOUSTON,TX77223     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ESPERANZA HEALTH CENTER
    4417 NORTH 6TH STREET
    PHILADELPHIA,PA19140     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FAMILY FIRST HEALTH CORPORATIONGETTYSBURG DENTAL CENTER
    116 SOUTH GEORGE STREET
    YORK,PA17401     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC
    PO BOX 1357
    FORT MYERS,FL33902     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FAMILY HEALTH NETWORK OF CENTRAL NEW YORK INC
    17-29 MAIN STREET SUITE 302
    CORTLAND,NY13045     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FAMILY HEALTHCARE NETWORK
    305 EAST CENTER AVENUE
    VISALIA,CA93291     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FAMILY PRACTICE & COUNSELING NETWORK
    4700 WISSAHICKON AVENUE SUITE 118
    PHILADELPHIA,PA19144     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FLORIDA COMMUNITY HEALTH CENTERS INC
    4450 SOUTH TIFFANY DRIVE
    WEST PALM BEACH,FL33407     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FRANKLIN PRIMARY HEALTH CENTER
    1303 DR MARTIN LUTHER KING JR
    AVENUE
    MOBILE,AL36603     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    FULTON COUNTY PARTNERSHIP INC
    22438 GREAT COVE ROAD SUITE 102
    MCCONNELLSBURG,PA17233     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GA CARMICHAEL FAMILY HEALTH CENTER
    1668 WEST PEACE STREET
    CANTON,MS39046     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GATEWAY COMMUNITY HEALTH CENTER INC
    PO BOX 3397
    LAREDO,TX78044     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GEISINGER CLINIC
    100 NORTH ACADEMY AVENUE
    DANVILLE,PA17822     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GEORGIA HEALTH SCIENCES UNIVERSITYCOLLEGE OF DENTAL MEDICINE GIVE A SMILE
    1120 15TH STREET GC-5024
    AUGUSTA,GA30912     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GLACIER COMMUNITY HEALTH CENTER
    519 EAST MAIN STREET
    CUT BANK,MT59427     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GOLDEN VALLEY HEALTH CENTERS
    747 WEST CHILDS AVENUE
    MERCED,CA95341     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GOOD SAMARITAN HEALTH CENTERS - WILDFLOWER CLINIC
    268 HERBERT STREET
    ST AUGUSTINE,FL32084     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GREATER BADEN MEDICAL SERVICES INC
    7450 ALBERT ROAD 3RD FLOOR
    BRANDYWINE,MD20613     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GREATER MERIDIAN HEALTH CLINIC INC
    2701 DAVIS STREET
    MERIDIAN,MS39301     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GREATER NORTH PENN DENTAL INITIATIVE
    51 MEDICAL CAMPUS DRIVE
    LANSDALE,PA19446     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GREATER PHILADELPHIA HEALTH ACTION INC
    432 NORTH 6TH STREET
    PHILADELPHIA,PA19123     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GREEN RIVER MEDICAL CENTER INC
    585 WEST MAIN STREET PO BOX 417
    GREEN RIVER,UT84525     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GULF COAST DENTAL OUTREACH INC
    2323 CURLEW ROAD SUITE 2F
    DUNEDIN,FL34698     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    GULF COAST HEALTH CENTER INC
    2548 MEMORIAL BOULEVARD
    PORT ARTHUR,TX77640     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HAMILTON HEALTH CENTER
    3211 NORTH FRONT STREET SUITE 104
    HARRISBURG,PA17110     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HAWC INC
    1450 RIDGEVIEW DRIVE SUITE 200
    RENO,NV89519     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTH MINISTRY OF THE SOUTHERN TIER INCCORNING COMMUNITY CARE CENTER
    300 NASSER CIVIC CENTER PLAZA SUITE
    230
    CORNING,NY14830     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTH PARTNERS INC
    16803 OLD FIELD LANE
    HUGHESVILLE,MD20637     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTHCARE NETWORK OF SOUTHWEST FLORIDA
    PO BOX 877
    IMMOKALEE,FL34143     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTHLINK MEDICAL CENTER
    1775 STREET ROAD
    SOUTHAMPTON,PA18966     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTHY SMILES COMMUNITY ORAL HEALTH CENTERSHENANDOAH VALLEY MEDICAL SYSTE
    58 WARM SPRINGS AVENUE
    MARTINSBURG,WV25404     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEALTHY SMILES HAPPY KIDS
    211 NORTH 12TH STREET
    LEHIGHTON,PA18235     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEART OF FLORIDA HEALTH CENTER
    1025 SW 1ST AVENUE
    OCALA,FL34471     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HEART OF TEXAS COMMUNITY HEALTH CENTER INCFAMILY HEALTH CENTER
    1600 PROVIDENCE DRIVE
    WACO,TX76707     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HELEN B BENTLEY FAMILY HEALTH CENTER INC
    3090 SW 37TH AVENUE
    MIAMI,FL33133     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HILL COUNTRY HEALTH AND WELLNESS CENTER
    29632 HIGHWAY 299 EAST PO BOX 228
    ROUND MOUNTAIN,CA96084     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    HOWARD UNIVERSITY
    600 W STREET NW
    WASHINGTON,DC20059     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    INLAND BEHAVIORAL AND HEALTH SERVICES INC
    1963 NORTH E STREET
    SAN BERNARDINO,CA92405     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    JEFFERSON COMMUNITY HEALTH CARE CENTERS INC
    1855 AMES BOULEVARD
    MARRERO,LA70072     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    JEFFERSON COMPREHENSIVE HEALTH CENTER INC
    225 COMMUNITY DRIVE PO BOX 98
    FAYETTE,MS39069     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    JESSIE TRICE COMMUNITY HEALTH CENTERS INC
    5607 NW 27TH AVENUE
    MIAMI,FL33142     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    KANAWHA COUNTY DENTAL HEALTH COUNCIL INC
    100 FLORIDA STREET
    CHARLESTON,WV25302     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    KEYSTONE DENTAL CARE
    767 5TH AVENUE SUITE B-3A
    CHAMBERSBURG,PA17201     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    KIDS SMILES INC
    2821 ISLAND AVENUE SUITE 210
    PHILADELPHIA,PA19153     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LA AMISTAD DE JOSE FAMILY HEALTH CENTERST JOSEPH HOSPITAL FOUNDATION
    1100 WEST STEWART DRIVE
    ORANGE,CA92868     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LA CLINICA DE LA RAZA INC
    1450 FRUITVALE AVENUE THIRD FLOOR
    PO BOX 22210
    OAKLAND,CA94623     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LA ESPERANZA CLINIC INC
    2029 WEST BEAUREGARD
    SAN ANGELO,TX76901     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LA RED HEALTH CENTER INC
    21444 CARMEAN WAY
    GEORGETOWN,DE19947     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LAFAYETTE COMMUNITY HEALTH CARE CLINIC
    1317 JEFFERSON STREET
    LAFAYETTE,LA70501     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LAKELAND VOLUNTEERS IN MEDICINE
    1021 LAKELAND HILLS BOULEVARD
    LAKELAND,FL33805     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LINCOLN COUNTY COMMUNITY HEALTH CENTER INCNORTHWEST COMMUNITY HEALTH CEN
    320 EAST 2ND STREET
    LIBBY,MT59923     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LONE STAR CIRCLE OF CARE
    205 EAST UNIVERSITY AVENUE SUITE
    200
    GEORGETOWN,TX78626     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LOS BARRIOS UNIDOS COMMUNITY CLINIC INC
    809 SINGLETON BOULEVARD
    DALLAS,TX75212     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    LUTHERAN MEDICAL CENTER
    5800 THIRD AVENUE
    BROOKLYN,NY11220     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MANATEE COUNTY RURAL HEALTH SERVICES INC
    12271 US 301 NORTH
    PARRISH,FL34219     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MARY'S CENTER FOR MATERNAL AND CHILD CARE INC
    2333 ONTARIO ROAD NW
    WASHINGTON,DC20009     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MAY VAN SICKLE CHILDREN'S DENTAL CLINIC
    475 BILTMORE WAY SUITE 110
    CORAL GABLES,FL33134     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MENDOCINO COAST CLINICS INC
    205 SOUTH STREET
    FORT BRAGG,CA95437     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MENDOCINO COMMUNITY HEALTH CLINIC INC
    333 LAWS AVENUE
    UKIAH,CA95482     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MIAMI BEACH COMMUNITY HEALTH CENTER INC
    11645 BISCAYNE BOULEVARD SUITE 207
    NORTH MIAMI,FL33181     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MIAMI CHILDREN'S HOSPITAL FOUNDATION INC
    3100 SW 62ND AVENUE
    MIAMI,FL33155     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MIDDLETOWN COMMUNITY HEALTH CENTER INC
    PO BOX 987
    MIDDLETOWN,NY10940     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MIDTOWN COMMUNITY HEALTH CENTER INC
    2240 ADAMS AVENUE
    OGDEN,UT84401     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MIFFLIN-JUNIATA DENTAL CLINIC INC
    31 SOUTH DORCAS STREET COMPASS
    CENTER SUITE E
    LEWISTOWN,PA17044     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MOM-N-PA DENTAL MISSION
    420 EAST ORANGE STREET
    SHIPPENSBURG,PA17257     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MOREHOUSE COMMUNITY MEDICAL CENTERS INC
    518 DURHAM STREET
    BASTROP,LA71220     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MORRIS HEIGHTS HEALTH CENTER
    85 WEST BURNSIDE AVENUE
    BRONX,NY10453     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    MOUNT VERNON NEIGHBORHOOD HEALTH CENTER NETWORK
    107 WEST 4TH STREET
    MOUNT VERNON,NY10550     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NEIGHBORHOOD HEALTH CENTER
    155 LAWN AVENUE
    BUFFALO,NY14207     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NEIGHBORHOOD HEALTH CLINIC
    121 GOODLETTE ROAD NORTH
    NAPLES,FL34102     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NEIGHBORHOOD HEALTHCARE
    425 DATE STREET
    ESCONDIDO,CA92025     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NEVADA HEALTH CENTERS INCEASTERN FAMILY MEDICAL AND DENTAL CENTER
    2212 SOUTH EASTERN AVENUE
    LAS VEGAS,NV89104     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
    345 EAST 24TH STREET SUITE 1039W
    NEW YORK,NY10010     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INCCOMMUNITY HEALTHCARE
    200 MARTIN LUTHER KING JR BOULEVARD
    WICHITA FALLS,TX76307     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NORTH EAST MEDICAL SERVICES
    1520 STOCKTON STREET 4TH FLOOR
    DENTAL CLINIC
    SAN FRANCISCO,CA94133     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NORTH FLORIDA MEDICAL CENTERS INCTAYLOR DENTAL CENTER
    535 JOHN KNOX ROAD
    TALLAHASSEE,FL32303     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NORTHEAST VALLEY HEALTH CORPORATION
    1172 NORTH MACLAY AVENUE
    SAN FERNANDO,CA91340     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    NORTHERN OSWEGO COUNTY HEALTH SERVICES INC
    61 DELANO STREET
    PULASKI,NY13142     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    OPEN DOOR FAMILY MEDICAL CENTER INC
    165 MAIN STREET
    OSSINING,NY10562     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    OUTPATIENT MEDICAL CENTER INC
    1640 BREAZEALE SPRINGS STREET
    NATCHITOCHES,LA71457     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PALMETTO HEALTH COUNCIL INC
    643 MAIN STREET
    PALMETTO,GA30268     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PARTNERSHIP FOR THE CHILDREN OF SAN LUIS OBISPO COUNTYLA CLINICA DE TOLOSA
    PO BOX 15259
    SAN LUIS OBISPO,CA93406     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PEACH TREE CLINIC
    5730 PACKARD AVENUE SUITE 600
    MARYSVILLE,CA95901     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PETALUMA HEALTH CENTER - DENTAL CLINIC
    1179 NORTH MCDOWELL BOULEVARD
    PETALUMA,CA94954     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PHOENIXVILLE HEALTHCARE ACCESS FOUNDATION
    723 WHEATLAND STREET SUITE 2C PO
    BOX 591
    PHOENIXVILLE,PA19460     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PREMIER COMMUNITY HEALTHCARE GROUP INC
    PO BOX 232
    DADE CITY,FL33526     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PRIMARY CARE COALITION OF MONTGOMERY COUNTY MDMONTGOMERY COUNTY CARE FOR
    8757 GEORGIA AVENUE 10TH FLOOR
    SILVER SPRING,MD20910     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANARKM PRIMARY CARE
    11990 JACKSON STREET
    CLINTON,LA70722     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PRIMARY HEALTH CARE CENTER OF DADE INC
    13570 NORTH MAIN STREET
    TRENTON,GA30752     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    PRIMARY HEALTH NETWORKFARRELL DENTAL CENTER
    100 SHENANGO AVENUE PO BOX 716
    SHARON,PA16146     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    REDWOODS RURAL HEALTH CENTER INC
    101 WEST COAST ROAD
    REDWAY,CA95560     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ROCHESTER PRIMARY CARE NETWORK
    259 MONROE AVENUE
    ROCHESTER,NY14607     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    RURAL HEALTH CORPORATION OF NORTHEASTERN PAMONROE-NOXEN DENTAL CENTER
    2888 SR 29 SOUTH
    MONROE TOWNSHIP,PA18636     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    RURAL HEALTH MEDICAL PROGRAM INC
    228 SELMA AVENUE PO BOX 2213
    SELMA,AL36702     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SALT LAKE DONATED DENTAL SERVICES
    1383 SOUTH 900 WEST SUITE 128
    SALT LAKE CITY,UT84104     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SALUD PARA LA GENTE
    195 AVIATION WAY SUITE 200
    WATSONVILLE,CA95076     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SAN FERNANDO COMMUNITY HEALTH CENTER DENTAL CLINIC
    732 MOTT STREET SUITE 100
    SAN FERNANDO,CA91340     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SAN GABRIEL VALLEY FOUNDATION FOR DENTAL HEALTH
    PO BOX 99
    TEMPLE CITY,CA91780     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SAN YSIDRO HEALTH CENTER
    1275 30TH STREET
    SAN DIEGO,CA92154     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SANTA BARBARA NEIGHBORHOOD CLINICS
    1900 STATE STREET SUITE G
    SANTA BARBARA,CA93101     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SCHENECTADY FAMILY HEALTH SERVICES INC
    1044 STATE STREET
    SCHENECTADY,NY12307     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SCRANTON PRIMARY HEALTH CARE CENTER INC
    959 WYOMING AVENUE PO BOX 31
    SCRANTON,PA18501     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SECOND MILE MISSION CENTER
    1135 HIGHWAY 90A
    MISSOURI CITY,TX77489     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTH BAY FAMILY HEALTHCARE
    23430 HAWTHORNE BOULEVARD SUITE 210
    TORRANCE,CA90505     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTHBRIDGE MEDICAL ADVISORY COUNCIL INCHENRIETTA JOHNSON MEDICAL CENTER
    601 NEW CASTLE AVENUE
    WILMINGTON,DE19801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTHEAST COMMUNITY HEALTH SYSTEMS
    6351 MAIN STREET PO BOX 770
    ZACHARY,LA70791     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTHEAST LANCASTER HEALTH SERVICES
    333 NORTH ARCH STREET
    LANCASTER,PA17603     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INCHATTIESBURG COMMUNITY D
    5488 US HIGHWAY 49
    HATTIESBURG,MS39401     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SOUTHWEST UTAH COMMUNITY HEALTH CENTER INCFAMILY HEALTHCARE
    25 NORTH 100 EAST SUITE 102
    ST GEORGE,UT84770     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ST GABRIEL HEALTH CLINIC INC
    5760 MONTICELLO STREET
    ST GABRIEL,LA70776     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ST JOSEPH MEDICAL CENTER (CHILDREN'S FREE DENTAL CLINIC)
    PO BOX 316
    READING,PA19603     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ST LUKE'S HOSPITAL & HEALTH NETWORK
    801 OSTRUM STREET
    BETHLEHEM,PA18015     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    ST PAUL'S NEIGHBORHOOD FREE MEDICAL & DENTAL CLINIC
    1608 WALNUT STREET
    ERIE,PA16502     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    STO-ROX NEIGHBORHOOD FAMILY HEALTH CENTER
    710 THOMPSON AVENUE
    MCKEES ROCKS,PA15136     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    STONY BROOK UNIVERSITY SCHOOL OF DENTAL MEDICINE
    STONY BROOK UNIVERSITY
    STONY BROOK,NY11794     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SUSAN DEW HOFF MEMORIAL CLINIC INC
    925 LIBERTY STREET PO BOX 120
    WEST MILFORD,WV26451     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SUSQUEHANNA COMMUNITY HEALTH AND DENTAL CENTER
    469 HEPBURN STREET
    WILLIAMSPORT,PA17701     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    SUSQUEHANNA RIVER VALLEY DENTAL HEALTH CLINIC
    335 MARKET STREET SUITE 1
    SUNBURY,PA17801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    TEMPLE COMMUNITY FREE CLINIC
    1905 CURTIS B ELLIOTT DRIVE
    TEMPLE,TX76501     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    THE COMMUNITY COLLEGE OF BALTIMORE COUNTY FOUNDATION INC
    7200 SOLLERS POINT ROAD
    BALTIMORE,MD21222     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    THE DENTAL HEALTH CLINIC
    107 SOUTH MARKET STREET
    BERWICK,PA18603     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    THE GARY CENTER
    341 SOUTH HILLCREST STREET
    LA HABRA,CA90631     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER INC
    2570 US HIGHWAY 9W SUITE 10
    CORNWALL,NY12518     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    THE MINISTRY OF CARING INCPIERRE TOUSSAINT DENTAL OFFICE
    903 NORTH MADISON STREET
    WILMINGTON,DE19801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    TIBURCIO VASQUEZ HEALTH CENTER INC
    22331 MISSION BOULEVARD
    HAYWARD,CA94541     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    TITUSVILLE AREA HOSPITALTIONESTA DENTAL CLINIC
    111 BRIDGE STREET
    TIONESTA,PA16353     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    TUG RIVER HEALTH ASSOCIATION INC
    PO BOX 507
    GARY,WV24836     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    TWO RIVERS HEALTH & WELLNESS FOUNDATIONNORTHAMPTON DENTAL INITIATIVE
    1101 NORTHAMPTON STREET SUITE 101
    EASTON,PA18042     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEYHURON HEALTH CENTER
    650 ZEDIKER AVENUE
    PARLIER,CA93648     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    UNIVERSITY AT BUFFALO FOUNDATIONS-MILES TO GO MOBILE DENTAL CLINIC
    UNIV AT BUFFALO 901 KIMBALL TOWER
    BUFFALO,NY14214     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    UTAH NAVAJO HEALTH SYSTEM INC
    EAST HIGHWAY 262 PO BOX 130
    MONTEZUMA CREEK,UT84534     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    VALLEY HEALTHCARE SYSTEM INC
    1600 FORT BENNING ROAD
    COLUMBUS,GA31903     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM
    14357 7TH STREET
    VICTORVILLE,CA92395     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    VOLUNTEERS IN MEDICINE-SAN FRANCISCOCLINIC BY THE BAY
    4877 MISSION STREET
    SAN FRANCISCO,CA94112     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WALNUT STREET COMMUNITY HEALTH CENTER INC
    24 NORTH WALNUT STREET
    HAGERSTOWN,MD21740     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WATER STREET HEALTH SERVICES
    210 SOUTH PRINCE STREET PO BOX 7267
    LANCASTER,PA17603     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WEST VIRGINIA HEALTH RIGHT INC
    1520 WASHINGTON STREET EAST
    CHARLESTON,WV25311     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WEST VIRGINIA UNIVERSITY FOUNDATION INCWEST VIRGINIA SCHOOL OF DENTISTRY
    G110 HEALTH SCIENCES NORTH PO BOX
    9415
    MORGANTOWN,WV26506     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WESTSIDE FAMILY HEALTHCARE INC
    300 WATER STREET SUITE 200
    WILMINGTON,DE19801     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WHATLEY HEALTH SERVICES INC
    2731 MARTIN LUTHER KING JR
    BOULEVARD PO BOX 2400
    TUSCALOOSA,AL35403     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    WHITNEY M YOUNG JR HEALTH CENTER INC
    920 LARK DRIVE
    ALBANY,NY12207     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    YORK HOSPITALWELLSPAN HEALTH
    912 SOUTH GEORGE STREET
    YORK,PA17403     		NONE 501(C)(3) TO PROVIDE DENTAL EDUCATION AND IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT. 10,000
    Total .................................bullet 3a 1,985,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		         
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 0 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    130
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
     
    Employer identification number

    37-1570764
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
          		Employer identification number

    37-1570764
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
    DELTA DENTAL INSURANCE COMPANY
     

       
    100 FIRST STREET
     
    SAN FRANCISCO, CA94105

    		$284,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
    DELTA DENTAL OF DELAWARE INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$17,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
    DELTA DENTAL OF NEW YORK INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$70,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
    DELTA DENTAL OF PENNSYLVANIA
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$196,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
    DELTA DENTAL OF WEST VIRGINIA INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$35,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    6
    DELTA DENTAL OF THE DISTRICT OF COLUMBIA
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$13,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Name of organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
          		Employer identification number

    37-1570764
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    7
    DELTA DENTAL OF CALIFORNIA
     

       
    100 FIRST STREET
     
    SAN FRANCISCO, CA94105

    		$135,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    8
    DELTA DENTAL INSURANCE COMPANY
     

       
    100 FIRST STREET
     
    SAN FRANCISCO, CA94105

    		$372,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    9
    DELTA DENTAL OF CALIFORNIA
     

       
    100 FIRST STREET
     
    SAN FRANCISCO, CA94105

    		$167,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    10
    DELTA DENTAL OF DELAWARE INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$21,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    11
    DELTA DENTAL OF NEW YORK INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$87,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    12
    DELTA DENTAL OF PENNSYLVANIA
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$247,000


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Name of organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
          		Employer identification number

    37-1570764
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    13
    DELTA DENTAL OF THE DISTRICT OF COLUMBIA
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$15,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    14
    DELTA DENTAL OF WEST VIRGINIA INC
     

       
    ONE DELTA DRIVE
     
    MECHANICSBURG, PA17055

    		$41,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
          		Employer identification number

    37-1570764
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    DELTA DENTAL COMMUNITY CARE FOUNDATION
          		Employer identification number

    37-1570764
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 SubstantialContributorsSch
    Name:
    DELTA DENTAL COMMUNITY CARE FOUNDATION
    EIN: 37-1570764
    Name Address
    DELTA DENTAL INSURANCE COMPANY
          		100 FIRST STREET
    SAN FRANCISCO,CA94105
    DELTA DENTAL OF DELAWARE INC
          		ONE DELTA DRIVE
    MECHANICSBURG,PA17055
    DELTA DENTAL OF NEW YORK INC
          		ONE DELTA DRIVE
    MECHANICSBURG,PA17055
    DELTA DENTAL OF PENNSYLVANIA
          		ONE DELTA DRIVE
    MECHANICSBURG,PA17055
    DELTA DENTAL OF WEST VIRGINIA INC
          		ONE DELTA DRIVE
    MECHANICSBURG,PA17055
    DELTA DENTAL OF CALIFORNIA
          		100 FIRST STREET
    SAN FRANCISCO,CA94105
    DELTA DENTAL OF THE DISTRICT OF COLUMBIA
          		ONE DELTA DRIVE
    MECHANICSBURG,PA17055