Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 307,746 | 300,036 | 262,786 | 264,875 | 281,595 | 1,417,038 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 367,083 | 298,120 | 340,329 | 356,847 | 354,324 | 1,716,703 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 674,829 | 598,156 | 603,115 | 621,722 | 635,919 | 3,133,741 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | 3,133,741 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 674,829 | 598,156 | 603,115 | 621,722 | 635,919 | 3,133,741 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 297 | 325 | 450 | 398 | 448 | 1,918 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 297 | 325 | 450 | 398 | 448 | 1,918 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 38,293 | 41,196 | 30,130 | 44,364 | 41,177 | 195,160 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 713,419 | 639,677 | 633,695 | 666,484 | 677,544 | 3,330,819 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | THE MEMBERS OF THIS ACADEMY SHALL BE CLASSIFIED AS FOLLOWS:A. DENTIST MEMBER(VOTING)B. CHARTER MEMBER (VOTING)C. INSTITUTIONAL MEMBER (VOTING)D. ASSOCIATE MEMBER (1 VOTING MEMBER REPRESENTATIVE TO THE BOARD) E. AFFILIATE MEMBER (NON-VOTING)F. CORPORATE MEMBER (NON-VOTING)G. NON-PRACTICING MEMBER (VOTING)H. STUDENT MEMBER (NON-VOTING)I. HONORARY MEMBER (NON-VOTING) |
| Form 990, Part VI, Line 9: Officer, Director, Trustee, Key Employee Mailing Address | SEE ATTACHED SCHEDULE |
| Form 990, Part VI, Line 11b: Form 990 Review Process | AFTER THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT, THE EXECUTIVE DIRECTOR ALONG WITH THE ORGANIZATION'S TAX CPA FIRM PREPARES AND REVIEWS THE FORM 990. A REPORT IS MADE TO THE GOVERNING BODY BY THE EXECUTIVE DIRECTOR. THE FILED FORM 990 IS AVAILABLE UPON WRITTEN REQUEST FROM ANY MEMBER OF THE GOVERNING BODY OR ORGANIZATION. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | GOVERNING MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON THEIR ELECTION TO OFFICE AND ANNUALLY UPDATE ANY CHANGES. RECORDS ARE KEPT ELECTRONICALLY AT THE MAIN OFFICE. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | THE 6 MEMBER EXECUTIVE COMMITTEE IS CHARGED WITH EVALUATING AND DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR. COMPARABILITY DATA SOURCES INCLUDE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVE (ASAE), OFFICERS COMPENSATION BENEFITS STUDY AND REVIEW OF OTHER ORGANIZATION COMPENSATION WITHIN THE PROFESSION. THE COMMITTEE MEETS BY E-MAIL, PHONE AND IN PERSON TO DISCUSS CURRENT ECONOMIC FACTORS, CURRENT FINANCIAL POSITION ALONG WITH CURRENT SURVEY DATA TO ARRIVE AT COMPENSATION FIGURES. NEXT THEY MEET WITH THE EXECUTIVE DIRECTOR, THEN REPORT TO THE BOARD. THE BOARD VOTES TO ACCEPT THE RECOMMENDATION OF THE EXECUTIVE COMMITTEE FOR THE EMPLOYMENT OF THE EXECUTIVE DIRECTOR. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THESE DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST TO THE EXECUTIVE DIRECTOR. |
| Form 990, Part IX, Line 24e: Other Expenses | BANK CHARGES & CREDIT CARD FEE: Column (A) - Total = $15969; Column (B) - Program Services = $0; Column (C) - Management & General = $15969; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | CERTIFICATION: Column (A) - Total = $19187; Column (B) - Program Services = $19187; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | COMPUTER EXPENSE: Column (A) - Total = $1405; Column (B) - Program Services = $0; Column (C) - Management & General = $1405; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | CONTRIBUTIONS: Column (A) - Total = $3229; Column (B) - Program Services = $0; Column (C) - Management & General = $3229; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | EQUIPMENT RENTAL: Column (A) - Total = $2547; Column (B) - Program Services = $0; Column (C) - Management & General = $2547; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | HONORARIA, AWARDS, ENDOWMENTS: Column (A) - Total = $18136; Column (B) - Program Services = $18136; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | INSURANCE: Column (A) - Total = $20507; Column (B) - Program Services = $0; Column (C) - Management & General = $20507; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | INTERNET: Column (A) - Total = $10966; Column (B) - Program Services = $0; Column (C) - Management & General = $10966; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | LICENSES & PERMITS: Column (A) - Total = $1166; Column (B) - Program Services = $0; Column (C) - Management & General = $1166; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | STUDENT SCHOLARSHIP : Column (A) - Total = $4753; Column (B) - Program Services = $4753; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 |
| Form 990, Part IX, Line 24e: Other Expenses | TELEPHONE: Column (A) - Total = $10942; Column (B) - Program Services = $0; Column (C) - Management & General = $10942; Column (D) - Fundraising = $0 |
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |