Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 02-01-2019 , and ending 01-31-2020
BCheck if applicable:
CName of organization
SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
120 STONEMARK LN
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
COLUMBIA, SC29072
D Employer identification number

81-6916597
E Telephone number

G Gross receipts $ 12,444,735
F Name and address of principal officer:
JOHN P LATHAM
120 STONEMARK LN
COLUMBIA,SC29072
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SCDA.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2017
M State of legal domicile: SC
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 4
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 4
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 4
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 12,370,055 12,444,735
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 12,370,055 12,444,735
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 12,343,215 12,369,738
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 18,019 40,509
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 12,361,234 12,410,247
19 Revenue less expenses. Subtract line 18 from line 12....... 8,821 34,488
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 417,976 432,323
21 Total liabilities (Part X, line 26)............. 397,541 377,400
22 Net assets or fund balances. Subtract line 21 from line 20..... 20,435 54,923
Part II
Signature Block
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 officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO PROVIDE GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS TO THE MEMBERS AND EMPLOYEES OF THE SOUTH CAROLINA DENTAL ASSOCIATION (SCDA), AS WELL AS QUALIFYING DEPENDENTS OF SCDA, BY ISSUANCE OF ONE OR MORE FULLY INSURED INSURANCE POLICIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
BEGINNING MARCH 1, 2017, SCDA BEGAN PROVIDING GROUP HEALTH INSURANCE AND OTHER WELFARE BENEFITS TO THE MEMBERS AND EMPLOYEES OF SCDA, AS WELL AS QUALIFYING DEPENDENTS OF SCDA, BY ISSUANCE OF ONE OR MORE FULLY INSURED INSURANCE POLICIES. THE TRUST PROGRAM IS OVERSEEN BY AN ELECTED BOARD OF TRUSTEES (TRUSTEES). THE TRUSTEES TOGETHER WITH THE SCDA PERFORM ALL OF THE ACTIVITIES REQUIRED TO ADMINISTER THE TRUST AND MAKE DECISIONS ON THE ON-GOING OPERATIONS OF THE TRUST IN THE BEST INTEREST OF THE PARTICIPANTS. THOSE ACTIVITIES INCLUDE THE FOLLOWING:-- THE SELECTION OF INSURANCE CARRIERS, BENEFIT PLANS AND BENEFIT LEVELS IN SOME SITUATIONS;-- THE SELECTION AND APPOINTMENT OF VENDORS INCLUDING BANKING SERVICES, CONTRACT ADMINISTRATOR, INVESTMENT MANAGER IF NEEDED, AUDITOR, AND ATTORNEY;-- THE SALES, AND MARKETING OF THE PROGRAM INCLUDING THE DEVELOPMENT OF COMMUNICATION MATERIALS, AND THE USE OF OUTSIDE SALES AGENTS IF NEEDED; AND-- THE GENERAL MANAGEMENT OF TRUST FUNDS AND ASSETS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
4
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
4
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
SC
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJOHN P LATHAM EXECUTIVE DIRECTOR120 STONEMARK LN   COLUMBIA,SC29072 (803) 750-2277
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOHN P LATHAM......................................................................
EXECUTIVE DIRECTOR
 1.00
.................
  		X   X       0 0 0
(2) DR CRAIG LITTLE......................................................................
TRUSTEE
 1.00
.................
  		X           0 0 0
(3) DR PETE HOFFMANN......................................................................
TRUSTEE
 1.00
.................
  		X           0 0 0
(4) DR PETER STOLTZ......................................................................
TRUSTEE
 1.00
.................
  		X           0 0 0
(5) DR LYNN WALLACE......................................................................
TRUSTEE
 1.00
.................
  		X           0 0 0
























Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a EMPLOYER CONTRIBUTIONS 525100 12,278,904 12,278,904    
b COBRA CONTRIBUTIONS 525100 90,831 90,831    
c PLAN SPONSOR CONTRIBUTIONS 525100 75,000 75,000    
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 12,444,735
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 12,444,735 12,444,735 0 0
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 12,369,738  
5 Compensation of current officers, directors, trustees, and key employees ...........        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 10,545      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion ....        
13 Office expenses ....... 7,630      
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CONSULTING 15,000      
b FIDUCIARY LIABILITY 5,549      
c MISCELLANEOUS EXPENSE 1,785      
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 12,410,247      
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 316,537 1 373,975
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 101,439 4 41,977
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ......   9 16,371
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c  
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 33)... 417,976 16 432,323
Liabilities 17 Accounts payable and accrued expenses ..... 131,315 17 66,351
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 266,226 25 311,049
26 Total liabilities. Add lines 17 through 25.. 397,541 26 377,400
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 20,435 31 54,923
32 Total net assets or fund balances ........... 20,435 32 54,923
33 Total liabilities and net assets/fund balances ........ 417,976 33 432,323
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
12,444,735
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
12,410,247
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
34,488
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
20,435
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
54,923
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
 
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST
Employer identification number

81-6916597
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 0
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 3
Part VII
Investments—Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 311,049
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 12,444,735
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 12,444,735
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 12,444,735
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 12,475,219
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 64,972
e Add lines 2a through 2d.................... 2e 64,972
3 Subtract line 2e from line 1................... 3 12,410,247
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 12,410,247
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE ATTRIBUTABLE TO INSURANCE PREMIUMS PAYABLE 64,972.
Schedule D (Form 990) 2019


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST
Employer identification number

81-6916597
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND THEN PROVIDES A COPY OF THE 990 TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


Additional Data


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

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
SOUTH CAROLINA DENTAL ASSOCIATION GROUP
INSURANCE TRUST
Employer identification number

81-6916597
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SOUTH CAROLINA DENTAL ASSOCIATION
120 STONEMARK LANE

COLUMBIA,SC29210
57-0399460 		ADVANCING THE ART AND SCIENCE OF DENTISTRY SC 501(C)(6)    
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No












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

1410 COLONIAL LIFE BLVD 160
COLUMBIA,SC29210
57-1130508 		     
          No
(2) AARON CARNER DMD LLC

110 VENTURE CT
GREENWOOD,SC29649
20-3255381 		     
          No
(3) AARON ELLETT DMD PA

460 SAINT ANDREWS ST
SPARTANBURG,SC29306
57-1088167 		     
          No
(4) ADVANCED DENTAL CENTER OF SUMMERVILLE PA

89 OLD TROLLEY RD STE A
SUMMERVILLE,SC29485
57-0663669 		     
          No
(5) ADVANCED DENTAL CENTER PA

2214 W PALMETTO ST
FLORENCE,SC29501
20-2077879 		     
          No
(6) AIKEN DENTAL ASSOCIATES

117 TRAFALGAR ST
AIKEN,SC29801
57-1036858 		     
          No
(7) AIKEN FAMILY DENTISTRY

341 NEWBERRY ST NW
AIKEN,SC29801
46-1594640 		     
          No
(8) AISHA O MOORE DDS PC

636 CROWN PT LN STE 105
ROCK HILL,SC29730
27-2150775 		     
          No
(9) AMANDA S CRUMPTON DMD PA

36 ROPER CORNERS CR
GREENVILE,SC29615
57-1104138 		     
          No
(10) ANDREW FLOYD JR DMD

PO BOX 365
MOORE,SC29369
57-1008736 		     
          No
(11) ANNA T FULLER DMD LLC

6420 GARNERS FERRY RD STE X
COLUMBIA,SC29209
81-3990089 		     
          No
(12) ARNOLD L BATCHELOR JR DMD

117 A SPRATT ST
FORT MILL,SC29715
20-2030892 		     
          No
(13) ASSEY DENTAL ASSOCIATES

1041 JOHNNIE DODDS BLVD 1
MT PLEASANT,SC29464
57-1036490 		     
          No
(14) ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY PA

112 SALUDA RIDGE COURT SUITE 400
WEST COLUMBIA,SC29169
58-2358068 		     
          No
(15) B CLARK DALTON DMD MS

1203 MAIN ST
HILTON HEAD ISLAND,SC29926
56-2027163 		     
          No
(16) BARRY C REYNOLDS DMD

POBOX 1785
IRMO,SC29063
57-0515684 		     
          No
(17) BLYTHEWOOD DENTISTRY

PO BOX 934
BLYTHEWOOD,SC29016
60-0001036 		     
          No
(18) BLYTHEWOOD VILLAGE DENTAL

PO BOX 969
BLYTHEWOOD,SC29016
20-3697005 		     
          No
(19) BOILING SPRINGS DENTISTRY

PO BOX 161329
BOILING SPRINGS,SC29316
20-8687780 		     
          No
(20) BONNIE J ROTHWELL DMD PA

11 HOSPITAL CENTER CMNS STE 200
HILTON HEAD,SC29926
57-1121662 		     
          No
(21) BRENT R HUMPHREY

103 SPRING HALL DR
GOOSE CREEK,SC29445
20-1932570 		     
          No
(22) BRIAN L BIEHL LLC

105 BEN CASEY DR STE 139
FORT MILL,SC29708
20-4660016 		     
          No
(23) BRYAN B PATTERSON DMD PA

519 W PALMETTO ST
FLORENCE,SC29501
55-0842427 		     
          No
(24) C MICHAEL MESSIER DMD

320 S MCQUEEN ST
FLORENCE,SC29501
58-2320895 		     
          No
(25) CALHOUN CLEMSON DENTAL ASSOCIATES

602-1 COLLEGE AVE
CLEMSON,SC29631
82-1317528 		     
          No
(26) CAPITOL DENTAL GROUP

1106 ANTHONY AVE
COLUMBIA,SC29201
57-0690680 		     
          No
(27) CAROLINA CENTER FOR RESTORATIVE DENTISTRY

682 JOHNNIE DODDS BLVD SUITE 102
MOUNT PLEASANT,SC29464
57-1013611 		     
          No
(28) CAROLINA COMPLETE DENTAL LLC

PO BOX 1120
GOOSE CREEK,SC29445
45-0830865 		     
          No
(29) CAROLINA DENTAL CENTER

PO BOX 602
MURRELLS INLET,SC29576
57-1067810 		     
          No
(30) CAROLINA FAMILY DENTAL PA

3702 SEA MOUNTAIN HWY
LITTLE RIVER,SC29566
56-2354305 		     
          No
(31) CAROLINA ORAL AND MAXILLOFACIAL SURGERY

105 BEN CASEY DR STE 115
FORT MILL,SC29708
20-3105832 		     
          No
(32) CAROLINA PERIODONTICS AND ENDODONTICS

1033 BAYSHORE DR
ROCK HILL,SC29732
27-2866377 		     
          No
(33) CENTRAL CAROLINA ENDODONTICS

888 COOK ROAD
ORANGEBURG,SC29118
26-0458441 		     
          No
(34) CHAPIN DENTAL ASSOCIATES LLC

425 A LEXINGTON AVE
CHAPIN,SC29036
20-0520785 		     
          No
(35) CHARLES S BEBKO DMD PA

1111 W O EZELL BLVD
SPARTANBURG,SC29301
57-0720271 		     
          No
(36) CHARLESTON FAMILY DENTISTRY

2170-B SAVANAH HWY
CHARLESTON,SC29414
57-0866472 		     
          No
(37) CHARLESTON PERIODONTICS AND IMPLANT DENTISTRY

2090 CHARLIE HALL BLVD SUITE 100
CHARLESTON,SC29407
57-0535143 		     
          No
(38) CHARLESTON RESTORATIVE AND COSMETIC DENTISTRY

1040 SAVANNAH HWY
CHARLESTON,SC29407
22-3878040 		     
          No
(39) CHARLESTON SMILES LLC

946 ORLEANS ROAD
CHARLESTON,SC29407
26-3059853 		     
          No
(40) CHERAW FAMILY DENTISTRY

3137 HIGHWAY 9 POBOX 1688
CHERAW,SC29520
27-5097875 		     
          No
(41) CHEROKEE GENERAL DENTISTRY

POBOX 8010
GAFFNEY,SC29340
57-0560737 		     
          No
(42) CHESTER FAMILY DENTAL CARE LLC

726 WILSON ST
CHESTER,SC29706
47-5229485 		     
          No
(43) CHOUGULE DENTAL CARE LLC

1741 GOLD HILL RD STE 2010
FORT MILL,SC29708
83-1566945 		     
          No
(44) CHRISTOPHER C NEWMAN DMD PA

115 PROFESSIONAL AVE
W COLUMBIA,SC29169
26-2878359 		     
          No
(45) CHRISTOPHER S NOEL DMD PA

2092 A WOODRUFF RD
GREENVILLE,SC29607
58-2502644 		     
          No
(46) CHUCKTOWN DENTAL DR BENJAMIN RYAN FLEMING

14 LOCKWOOD DR STE A
CHARLESTON,SC29401
27-2918191 		     
          No
(47) CLEMENTS FERRY DENTISTRY

1951 CLEMENTS FERRY ROAD
CHARLESTON,SC29492
81-5051484 		     
          No
(48) CLEMSON FAMILY DENTISTRY

PO BOX 349
CLEMSON,SC29631
57-1112003 		     
          No
(49) CLINTON DENTAL CARE

PO BOX 837
CLINTON,SC29325
26-0255057 		     
          No
(50) CLOVER FAMILY DENTISTRY LLC CATHERINE J MYRICK DMD

790 GRASMERE LN
CLOVER,SC29710
20-4025662 		     
          No
(51) COASTAL CAROLINA FAMILY DENTISTRY

8471 RESOLUTE WAY STE 104
N CHARLESTON,SC29420
43-3633092 		     
          No
(52) COASTAL COSMETIC DENTAL ASSOCIATES

PO BOX 635
LITTLE RIVER,SC29566
57-0979854 		     
          No
(53) COASTAL ENDODONTICS LLC R SCOTT EDDY DMD

PO BOX 4776
PAWLEYS ISLAND,SC29585
20-3581644 		     
          No
(54) COASTAL ORTHODONTICS

1600 BURNSIDE ST SUITE 105
BEAUFORT,SC29902
45-3695355 		     
          No
(55) CORNERSTONE FAMILY DENTISTRY

190 MUTUAL DRIVE
ANDERSON,SC29621
47-2763159 		     
          No
(56) COULTER ORTHODONTICS

2590 LIN-DO CT
SUMMERVILLE,SC29483
57-1113189 		     
          No
(57) CRAIG S KARRIKER DMD PA

400 SOUTH GRANARD ST
GAFFNEY,SC29341
13-4245022 		     
          No
(58) CRESCENT MOON ORTHODONTICS

5070 AUGUSTA RD
LEXINGTON,SC29072
20-0938803 		     
          No
(59) CRESCENT PROSTHODONTICS

1821 GADSDEN ST
COLUMBIA,SC29201
45-3559579 		     
          No
(60) CULP DENTAL PA

1334 EBENEZER RD
ROCK HILL,SC29732
27-3765626 		     
          No
(61) D T FULMER DMD PA

105-D E BUTLER RD
MAULDIN,SC29662
57-1089547 		     
          No
(62) DANIEL A NICKLES DMD

100 COVEY HILL COURT
GREENVILLE,SC29615
57-0936411 		     
          No
(63) DARCIE L LEE DMD LLC

3320 WHISKEY RD
AIKEN,SC29803
57-0734255 		     
          No
(64) DAVID P BABB DMD

109 SEA ISLAND PKWY
BEAUFORT,SC29907
30-0549154 		     
          No
(65) DEAN G MCKINNEY DDS PA

1463 E MAIN ST
SPARTANBURG,SC29307
57-0757027 		     
          No
(66) DENTAL ASSOCIATES OF EASLEY

415 S PENDLETON ST
EASLEY,SC29640
14-1863434 		     
          No
(67) DENTISTRY AT THE COMMONS PC DBA LAKE DENTAL

11 PROFESSIONALS CIR
SENECA,SC29678
84-3219863 		     
          No
(68) DONALD W HUNT JR DMD

2409 WADE HAMPTON BLVD
GREENVILLE,SC29615
51-0529570 		     
          No
(69) DOUGLAS L KIROL DDS

219 OAKLAND AVE
ROCK HILL,SC29730
57-0523839 		     
          No
(70) DR CHRISTOPHER L ANDREWS

6100 GARNERS FERRY RD
COLUMBIA,SC29209
57-1013963 		     
          No
(71) DR D G TAYLOR PC

PO BOX 277
RIDGE SPRING,SC29129
57-0947814 		     
          No
(72) DR FRANK B HINES II PA

605 NORTHWOOD RD
LEXINGTON,SC29072
57-0532082 		     
          No
(73) DR FRANK C SPARACINO DDS

8800 NORTHPARK BLVD
N CHARLESTON,SC29406
20-1407119 		     
          No
(74) DR GORDON D DANNELLY

PO BOX 1668
EASLEY,SC29641
56-2004149 		     
          No
(75) DR J BRADFORD SMITH DDS

454 CLEMSON RD
COLUMBIA,SC29229
30-0453375 		     
          No
(76) DR JAMES M DONAHUE

18 OFFICE PARK CT
COLUMBIA,SC29223
57-0758543 		     
          No
(77) DR JASON A STACK DMD PA

40 CREEKVIEW CT
GREENVILLE,SC29615
20-3521535 		     
          No
(78) DR JOHN C BILDER DMD PA

410 S MAIN ST
MULLINS,SC29574
56-2121920 		     
          No
(79) DR JOSEPH L BROWN DMD

PO BOX 266
PAMPLICO,SC29583
57-0671741 		     
          No
(80) DR KAREN F MEEKS DMD PC

PO BOX 1129
HARDEEVILLE,SC29927
20-5884740 		     
          No
(81) DR KRIS M ONEILL DMD PA

3224 MILLWOOD AVE
COLUMBIA,SC29205
57-1098213 		     
          No
(82) DR MARY G METROPOL

1700 HENDERSON ST
COLUMBIA,SC29201
57-0939116 		     
          No
(83) DR P SPENCER WITKIN DMD LLC

415-A ROBERTSON BLVD
WALTERBORO,SC29488
57-1123818 		     
          No
(84) DR RICHARD E BOYD BOYD ORTHODONTICS

5 OFFICE PARK COURT
COLUMBIA,SC29223
57-0834222 		     
          No
(85) DR S DANIEL GARDNER DMD LLC

849 HARBORVIEW RD
CHARLESTON,SC29412
20-4543833 		     
          No
(86) DR VANCE MORGAN CHARISMATIC SMILES INC

175 MEDICAL CIRCLE
W COLUMBIA,SC29169
57-1030579 		     
          No
(87) DR WILLIAM L PERDUE DMD

PO BOX 231
CHESTERFIELD,SC29709
57-0826364 		     
          No
(88) DRS FRICK AND JONES PA

111 POWELL MILL RD
SPARTANBURG,SC29301
57-0777832 		     
          No
(89) DRS KUNKLE AND POWELL PA

119 LIBRARY ST
MONCKS CORNER,SC29461
57-0545789 		     
          No
(90) DRS MOSS AND OWEN INC

PO BOX 1647
CAMDEN,SC29021
45-4194277 		     
          No
(91) DRS PAUL AND SAVARESE

21 NEW ORLEANS ROAD STE A
HILTON HEAD ISLAND,SC29928
57-0812725 		     
          No
(92) DRS SMITH AND ROBINSON DMD PA

509 E MAIN ST
LEXINGTON,SC29072
57-0720597 		     
          No
(93) DUNES DENTAL SERVICES INC

100 SUTTER DR SUITE 106
SURFSIDE BEACH,SC29575
26-2210603 		     
          No
(94) DUTCH FORK FAMILY DENTISTRY

7436 BROAD RIVER ROAD SUITE 111
IRMO,SC29063
45-2695225 		     
          No
(95) EDWARD C DAVIS DMD DAVIS ORTHODONTICS

143 MEDICAL CIRCLE
WEST COLUMBIA,SC29169
57-1114024 		     
          No
(96) ELLET AND WATSON FAMILY AND COSMETIC DENTISTRY

54 POINTE CIRCLE B
GREENVILLE,SC29615
57-0659853 		     
          No
(97) ENDOCAROLINA

58 POINTE CIRCLE
GREENVILLE,SC29615
57-0694695 		     
          No
(98) ERNEST J HOWARD JR DMD

18 PELHAM RD
GREENVILLE,SC29615
57-0817005 		     
          No
(99) FALLS PARK DENTISTRY

104 N MAIN ST
GREENVILLE,SC29601
26-0421517 		     
          No
(100) FLORENCE PEDIATRIC DENTISTRY

680 SENIOR WAY
FLORENCE,SC29505
27-2309970 		     
          No
(101) FOOT BRIDGE FAMILY DENTAL

PO BOX 218
PIEDMONT,SC29673
20-1170108 		     
          No
(102) FOREST ACRES DENTISTRY

5211 N TRENHOLM RD
COLUMBIA,SC29206
46-4157592 		     
          No
(103) FRANCIS W ADAMS JR DMD

53 WINDERMERE BLVD
CHARLESTON,SC29407
57-0815913 		     
          No
(104) GENTLE DENTAL CARE INC

111 WESTVIEW BLVD
SPARTANBURG,SC29306
58-2314510 		     
          No
(105) GENTLE DENTAL CARE OF GREENVILLE

2400 N PLEASANTBURG DR STE E
GREENVILLE,SC29609
20-3333933 		     
          No
(106) GLENN R EDENS DMD PA

104 FRANKLIN SQURE WAY
EASLEY,SC29642
58-2338033 		     
          No
(107) GLENNS BAY DENTAL ASSOCIATES

1625 GLENNS BAY ROAD
MYRTLE BEACH,SC29575
27-0104541 		     
          No
(108) GRACE DENTISTRY LLC

16 COMMONS BLVD
SENECA,SC29678
45-3638192 		     
          No
(109) GRACE STREET DENTAL

228 GRACE ST
GREENWOOD,SC29649
20-0366569 		     
          No
(110) GRAND STRAND FAMILY AND ESTHETIC DENTISTRY

3409 N KINGS HWY
MYRTLE BEACH,SC29577
27-0021175 		     
          No
(111) GRAND STRAND PEDIATRIC

3112 DICK POND RD
MYRTLE BEACH,SC29588
30-0497411 		     
          No
(112) GREENVILLE FAMILY DENTISTRY

920 S BATESVILLE RD
GREER,SC29650
57-1107348 		     
          No
(113) GREENVILLE PEDIATRIC DENTISTRY

1376 CLEVELAND ST
GREENVILLE,SC29607
57-0959258 		     
          No
(114) GRIFFIN DENTAL PA

512 N PINE ST
SUMMERVILLE,SC29483
81-5415141 		     
          No
(115) H DRUMMOND SHARP II DMD PA

904 MAPLE HILL LANE
ROCK HILL,SC29732
57-0571209 		     
          No
(116) H NELSON EDDY DDS PA

1144 INDIA HOOK RD STE D
ROCK HILL,SC29732
26-2280121 		     
          No
(117) HARE AND MARTIN DDS PA

PO BOX 815
SENECA,SC29679
57-0607395 		     
          No
(118) HARTSVILLE FAMILY DENTISTRY ASSOCIATES INC

PO BOX 969
HARTSVILLE,SC29550
10-0551224 		     
          No
(119) HOLLIDAY DENTAL PA

7 LEGARCY PARK
GREENVILLE,SC29607
20-0351639 		     
          No
(120) HOLLY TREE FAMILY DENTAL

1334 S HWY 14
SIMPSONVILLE,SC29681
56-2038627 		     
          No
(121) HOOD FAMILY DENTISTRY

16 COMMONS BLVD
SENECA,SC29678
84-3419230 		     
          No
(122) HUNT FAMILY DENTAL DBA WOOD CREEK DENTAL

2101 PELHAM RD/ PO BOX 25604
GREENVILLE,SC29615
47-2464503 		     
          No
(123) HUTCHINSON FAMILY DENTISTRY

209 WEST MAIN ST
LEXINGTON,SC29072
20-7671949 		     
          No
(124) ISSAQUEENA PEDIATRIC DENTISTRY

314 UNION STATION DR
SENECA,SC29678
27-3163250 		     
          No
(125) J GREGG CAPUTO DMD PA

40 POINTE CIR
GREENVILLE,SC29615
27-4257197 		     
          No
(126) J TERRELL LEWIS DMD

PO BOX 916
HEMINGWAY,SC29554
57-0642329 		     
          No
(127) JACKSON SMILE STUDIO LLC

POBOX 212116
COLUMBIA,SC29221
13-4332914 		     
          No
(128) JAMES D WHITEHEAD III DMD MS PA

203 MALLARD LAKES DR
LEXINGTON,SC29072
58-2447109 		     
          No
(129) JAMES M CARROLL DMD PA

941 N LOGAN STREET
GAFFNEY,SC29341
57-0639160 		     
          No
(130) JAMES M GROEBER DDS PA

108 MICHELIN BLVD
ANDERSON,SC29625
57-0799309 		     
          No
(131) JASON H COHEN DMD LLC ENDODONTICS LTD

198 RUTLEDGE AVE STE 3
CHARLESTON,SC29403
57-1096100 		     
          No
(132) JASON S ANNAN DDS LLC

1401 STUART ENGALS BLVD
MT PLEASANT,SC29464
26-2615124 		     
          No
(133) JEFFREY B BAYME DMD LLC

9150 MEDCOM ST STE A
CHARLESTON,SC29406
68-0515348 		     
          No
(134) JERNIGAN ORTHODONTICS

306 CHANNEL DRIVE
COLUMBIA,SC29229
26-1608760 		     
          No
(135) JIMMY A DUENSING DMD

8012 GARNERS FERRY RD
COLUMBIA,SC29209
57-0858003 		     
          No
(136) JOHN A MILLER DMD LLC

4539 HIGHWAY 17
MURRELLS INLETS,SC29576
57-0869849 		     
          No
(137) JOHN L EDWARDS DDS

PO BOX 2147
IRMO,SC29063
27-1964173 		     
          No
(138) JOHN L MCMURRAY III DMD

1 LAURENSVILLE LANE
LAURENS,SC29360
20-1370756 		     
          No
(139) JOHN NORRIS LONG DMD INC

2550 KINARD ST
NEWBERRY,SC29108
57-1133718 		     
          No
(140) JOSEPH DENTAL ASSOCIATES PA

1301 MONUMENT SQ
CAMDEN,SC29020
57-0522506 		     
          No
(141) K DARGAN FLOWERS JR DMD PC

PO BOX 759
HARTSVILLE,SC29551
43-1963658 		     
          No
(142) KAREN PARK FAMILY DENTISTRY

125 MEDICAL CIRCLE
WEST COLUMBIA,SC29169
56-2098883 		     
          No
(143) KARL S KLINAR DMD

6320 ST ANDREWS RD
COLUMBIA,SC29212
61-1481254 		     
          No
(144) KEENAN W SMITH DMD PA

463 WOODRUFF ROAD
GREENVILLE,SC29607
26-4766737 		     
          No
(145) KEITH A BERRY DMD

350 HILTON RD STE 201
MYRTLE BEACH,SC29572
56-2036031 		     
          No
(146) KEOWEE FAMILY DENTISTRY PA

15680 WELLS HIGHWAY
SENECA,SC29678
30-0454463 		     
          No
(147) KEVIN R RIKER DDS CHARLESTON ORAL

1112 SAVANNAH HWY
CHARLESTON,SC29407
57-1048319 		     
          No
(148) KRISTINA L HAPNEY FIVE FORKS DENTAL CARE INC

2833 WOODRUFF ROAD
SIMPSONVILLE,SC29681
20-2881105 		     
          No
(149) LAFOND AND TAMBINI DMD PA

455 OLD TROLLEY RD SUITE E
SUMMERVILLE,SC29485
57-1072817 		     
          No
(150) LAKE MURRAY PEDIATRIC DENTISTRY PA

740 OLD LEXINGTON HWY
CHAPIN,SC29036
26-2192258 		     
          No
(151) LAUREN F CALLISON DMD LLC DBA WALTERBORO FAMILY

1133 N JEFFERIES BLVD
WALTERBORO,SC29488
84-1849906 		     
          No
(152) LAURENS DENTISTRY LLC

810 EAST MAIN ST SUITE C
LAURENS,SC29360
26-4229832 		     
          No
(153) LEE E OPPENHEIMER DDS PA

23 SHELTER COVE LANE BUILDING B STE
HILTON HEAD ISLAND,SC29928
61-1668262 		     
          No
(154) LIFE SMILES DENTISTRY

3070 HWY 17N STE 101
MT PLEASANT,SC29466
20-2918217 		     
          No
(155) LIVE OAK DENTAL SPECIALISTS INC

551 BLACK RIVER RD
GEORGETOWN,SC29440
57-0919480 		     
          No
(156) LOUIS O SCHWARTZ JR DMD

515 NELSON BLVD
KINGSTREE,SC29556
57-0533511 		     
          No
(157) LOW COUNTRY FAMILY AND COSMETIC

868 SAVANNAH HWY
CHARLESTON,SC29407
57-1036459 		     
          No
(158) LOW COUNTRY ORAL FACIAL AND IMPLANT

1311 CHUCK DAWLEY BLVD SUITE 101
MT PLEASANT,SC29464
03-0826651 		     
          No
(159) LOW COUNTRY ORTHODONTICS DR ROLAND K FULCHER

1708 B OLD TROLLEY ROAD
SUMMERVILLE,SC29485
82-0538188 		     
          No
(160) LOWCOUNTRY ENDODONTICS

409 CARTERET ST
BEAUFORT,SC29902
45-4598657 		     
          No
(161) LOWCOUNTRY FAMILY DENTISTRY

675 WACHESAW UNIT C
MURRELLS INLET,SC29576
38-3860333 		     
          No
(162) MARCUS A WILSON DMD

515 W BUTLER RD STE B
GREENVILLE,SC29607
36-4523261 		     
          No
(163) MARK J HAUSER DDS PA

1065 B JOHNNIE DODDS BLVD
MT PLEASANT,SC29464
56-2072113 		     
          No
(164) MARLBORO FAMILY DENTISTRY

307 E MAIN ST
BENNETTSVILLE,SC29512
20-8758082 		     
          No
(165) MARSHALL LYNN WALLACE DMD

3 PROFESSIONAL COURT
SUMTER,SC29150
57-0828010 		     
          No
(166) MATTHEW MASTROROCCO DMD PA

4101 MAIN ST STE D
HILTON HEAD ISLAND,SC29926
82-0562632 		     
          No
(167) MAULDIN DENTAL

116 E BUTLER RD
MAULDIN,SC29662
38-3818437 		     
          No
(168) MCDONALD ORAL AND MAXILLOFACIAL SURGERY LLC

1509 HERITAGE LANE
FLORENCE,SC29505
47-3157457 		     
          No
(169) MEADOW CREEK FAMILY DENTISTRY

40 NORTH HOWARD STREET
INMAN,SC29349
81-4371207 		     
          No
(170) MICHAEL A ZIMMERMAN DMD PA

127 SOUTHPORT ROAD
SPARTANBURG,SC29306
20-2318770 		     
          No
(171) MICHAEL E HENDERSON DMD PA

128 W CHEROKEE ST
CHESNEE,SC29323
57-1096372 		     
          No
(172) MICHAEL F GROSSO DMD

421 BARONY ST SUITE 6
MONCKS CORNER,SC29461
57-0854829 		     
          No
(173) MICHAEL W STURKIE JR DMD

3901 C EDMOND HWY
W COLUMBIA,SC29170
20-2078898 		     
          No
(174) MICHELE K BRYANT DMD PA

119 VILLAGE DR
GREER,SC29651
20-3150416 		     
          No
(175) MIDLANDS DENTAL LLC

9 SURREY CT
COLUMBIA,SC29212
27-1506018 		     
          No
(176) MIDLANDS ENDODONTICS PA MATTHEW D EVANS DMD

108 PALMETTO PARK BLVD STE F
LEXINGTON,SC29072
57-1123752 		     
          No
(177) MILLER ENDODONTICS PA

263 CALIFORNIA AVE
SPARTANBURG,SC29303
45-3444188 		     
          No
(178) MOORE FAMILY DENTISTRY

1626 HARBORVIEW ROAD
CHARLESTON,SC29412
46-1616709 		     
          No
(179) MOWLAJKO FAMILY AND COSMETIC DENTISTRY LLC

205 EAST HIGHLAND AVE
ANDERSON,SC29621
27-0222988 		     
          No
(180) NEW RIVER DENTAL PA

247 B MEAD ROAD
HARDEEVILLE,SC29927
20-8050762 		     
          No
(181) NEWSOME HEALTH DENTISTRY

2120 NORTH BELTLINE BLVD SUITE A
COLUMBIA,SC29204
56-2173175 		     
          No
(182) NORTHEAST ORAL AND MAXILLOFACIAL SURGERY CENTER

9310 TWO NOTCH RD
COLUMBIA,SC29223
57-1053533 		     
          No
(183) NOW OR NEVER 2011 LLC

2270 ASHLEY CROSSING DR SUITE 175
CHARLESTON,SC29414
27-4895076 		     
          No
(184) OAK PARK FAMILY DENTISTRY

2565 LINDO CT
SUMTER,SC29150
35-2169690 		     
          No
(185) OAK POINT PEDIATRIC DENTISTRY LLC

1721 OAK POINT RD
CHARLESTON,SC29412
57-1087484 		     
          No
(186) OFF ISLAND DENTAL

1 SHERINGTON DR STE H
BLUFTON,SC29910
20-8472971 		     
          No
(187) OWINGS SAM AND OWINGS DENTISTRY

540 W MARTINTOWN RD
NORTH AUGUSTA,SC29841
57-1091244 		     
          No
(188) PALMETTO DENTAL ASSOCIATES

216 PALMETTO PARK BLVD
LEXINGTON,SC29072
57-1049955 		     
          No
(189) PALMETTO DENTISTRY LLC

PO BOX 846
BARNWELL,SC29812
57-1080271 		     
          No
(190) PALMETTO ENDODONTICS PA

4023 FOREST DR
COLUMBIA,SC29204
27-4395242 		     
          No
(191) PALMETTO ORTHODONTICS AND TMJ

103 GREENLAND DR
GOOSE CREEK,SC29445
58-2344127 		     
          No
(192) PALMETTO SMILE CENTER

1108 CALHOUN ST
NEWBERRY,SC29108
20-3135819 		     
          No
(193) PALMETTO SMILES OF FLORENCE PA

1260 CELEBRATION BLVD
FLORENCE,SC29501
45-2942560 		     
          No
(194) PARK WEST DENTISTRY

3404 SALTERBECK ST STE 202
MT PLEASANT,SC29465
20-1326537 		     
          No
(195) PEDIATRIC DENTISTRY PA

420 SUITE B THE PARKWAY
GEER,SC29650
57-0537213 		     
          No
(196) PELHAM LINKS FAMILY AND COSMETIC DENTISTRY

PO BOX 27143
GREENVILLE,SC29616
57-0788902 		     
          No
(197) PERIODONTAL ASSOCIATES LLC

33 GAMECOCK AVENUE
CHARLESTON,SC29407
45-2276702 		     
          No
(198) PITNER ORTHODONTICS

5953 WESCOT RD
COLUMBIA,SC29212
26-4776500 		     
          No
(199) PLEASANT FAMILY DENTISTRY

1204 TWO ISLAND CT
MT PLEASANT,SC29466
57-0893174 		     
          No
(200) POWDERSVILLE DENTAL ASSOC

100 COMMONS BLVD
PIEDMONT,SC29673
57-0739516 		     
          No
(201) PREMIER ENDODONTICS

7024 BROOKFIELD ROAD
COLUMBIA,SC29223
20-8170983 		     
          No
(202) PROVIDENCE DENTAL GROUP LLC

220 BRIDGES RD
SIMPSONVILLE,SC29681
20-2588390 		     
          No
(203) R BOYD HENDRIX DMD PA

PO BOX 4855
W COLUMBIA,SC29171
57-0859261 		     
          No
(204) R ROGER BRYANT JR DMD PA

3115 G BRUSHY CREEK RD
GREER,SC29650
20-4615183 		     
          No
(205) R T PROVINE DMD PA

1111 W O EZELL BLVD
SPARTANBURG,SC29301
25-9781899 		     
          No
(206) RADIANT DENTISTRY

PO BOX 1027
DRAYTON,SC29333
26-2961951 		     
          No
(207) RANDALL J PAGENKOPF DMD PA

135 ISLAND PARK DR
DANIEL ISLAND,SC29492
57-1108409 		     
          No
(208) REYNOLDS FAMILY DENTISTRY

PO BOX 265
LAURENS,SC29360
57-1124575 		     
          No
(209) RICHARD H YOUNG DMD

701 17TH AVE SOUTH
N MYRTLE BEACH,SC29582
57-0939131 		     
          No
(210) RICHARD S MARKS DMD PA

5 PROFESSIONAL CT
SUMTER,SC29150
57-0760489 		     
          No
(211) ROBERT S HEGLER DMD

104 S ASHE ST
KERSHAW,SC29067
57-0655488 		     
          No
(212) ROCKY L NAPIER DMD

143 TRAFALGAR ST SW
AIKEN,SC29801
57-0896799 		     
          No
(213) ROSS AND MUNN ORTHODONTICS LLC

3508 CADUCEUS DR
MRYTLE BEACH,SC29588
30-0710878 		     
          No
(214) SAM F WHEELER DMD PA

PO BOX 567
SALUDA,SC29138
57-0705526 		     
          No
(215) SAM H ARAZIE DMD MSD PA

1385 SECOND LOOP RD
FLORENCE,SC29505
57-0924094 		     
          No
(216) SEWEE DENTAL CARE

2928 HWY 17 N
MT PLEASANT,SC29466
58-2353722 		     
          No
(217) SHELBOURNE AND ASSOCIATES

198 RUTLEDGE AVENUE STE 4
CHARLESTON,SC29403
20-0575160 		     
          No
(218) SHERRY R POWELL DMD PA

120 MIDLANDS CT
W COLUMBIA,SC29169
57-1117318 		     
          No
(219) SIGNATURE SMILES

6 B CLEVELAND CT
GREENVILLE,SC29607
45-2636454 		     
          No
(220) SMILE LIFE DENTISTRY PA

332 OLD CHAPIN RD
LEXINGTON,SC29072
20-0204878 		     
          No
(221) SMILE WORKS

882 WHIPPLE RD
MT PLEASANT,SC29464
26-2342111 		     
          No
(222) SOUTH CAROLINA DENTAL ASSOCIATION

120 STONEMARK LANE
COLUMBIA,SC29210
57-0399460 		     
          No
(223) SOUTHEAST ENDODONTICS PC

10 FARMFIELD AVE STE E
CHARLESTON,SC29407
43-2029689 		     
          No
(224) SOUTHERN SHORES DENTAL LLC

110 CHARTER OAK ROAD
LEXINGTON,SC29072
65-0770231 		     
          No
(225) SOUTHERN SMILES DENTAL LLC

298 OLD TROLLEY RD
SUMMERVILLE,SC29485
47-4751846 		     
          No
(226) SPRING VALLEY DENTAL ASSOCIATES LLC

9165 TWO NOTCH RD
COLUMBIA,SC29223
20-3452433 		     
          No
(227) ST STEPHEN FAMILY DENTISTRY

PO BOX 1710
ST STEPHENS,SC29479
26-0292389 		     
          No
(228) STEPHEN HUCH DMD

504 ST JAMES AVE
GOOSE CREEK,SC29445
57-0780959 		     
          No
(229) STEPHEN J BAKER DMD PA BAKER FAMILY DENTISTRY

PO BOX 5309
AIKEN,SC29804
61-1609228 		     
          No
(230) STONE FAMILY DENTISTRY

1051 GARDNER RD STE C
CHARLESTON,SC29407
56-2033864 		     
          No
(231) STRAUP AND MITCHELL LLC

2713 N MAIN STREET
ANDERSON,SC29621
20-0421959 		     
          No
(232) SUMMERS ORTHODONTICS

4501 OLD SPARTANBURG RD 2
TAYLORS,SC29687
71-0926310 		     
          No
(233) TAYLOR DENTISTRY RALPH E TAYLOR

1032 C KINLEY RD
IRMO,SC29063
57-1084145 		     
          No
(234) THE DENTAL RETREAT AT MOUNTAIN PARK

125 BOTANICAL CIRCLE TRAVELERS
REST,SC29690
27-2459283 		     
          No
(235) THOMAS M DIXON DMD PA

PO BOX 183
HONEA PATH,SC29654
52-2325519 		     
          No
(236) THREE FOUNTAINS FAMILY DENTAL

2248 PINE STW
COLUMBIA,SC29170
81-0555461 		     
          No
(237) TRIDENT DENTAL PARTNERS LLC

6335 DORCHESTER RD
NORTH CHARLESTON,SC29418
45-4185837 		     
          No
(238) TUCKER ORTHODONTICS PA

1050 SEVEN OAKS DR
AIKEN,SC29803
61-1665381 		     
          No
(239) TYGER RIVER PEDIATRIC DENTISTRY LLC

312 S SPARTANBURG HWY
LYMAN,SC29365
90-0912502 		     
          No
(240) UPSTATE PEDIATRIC DENTISTRY PA

545 VERDAE BLVD SUITE A
GREENVILLE,SC29607
26-2550998 		     
          No
(241) VILLAGE FAMILY DENTAL PA

3012 NEWCASTLE LP
MYRTLE BEACH,SC29588
57-1110372 		     
          No
(242) WALKER DENTAL CARE

225 LONGTOWN ROAD
COLUMBIA,SC29229
20-4624931 		     
          No
(243) WATERS ORTHODONTICS

101-A FRANKLIN SQUARE WAY
EASLEY,SC29642
20-8174085 		     
          No
(244) WESTMINSTER SMILES DR TRENTON M SMITH

101 WESTMINSTER HWY
WESTMINSTER,SC29693
57-0536537 		     
          No
(245) WILDEWOOD DENTAL CARE

230 GRACES WAY
COLUMBIA,SC29229
10-0700743 		     
          No
(246) WILLIAM A COFER DMD PA

215 W POINSETT ST
GREER,SC29650
57-0690977 		     
          No
(247) WILLIAM D CRANFORD JR DMD

1721 EBENZER RD STE 135
ROCK HILL,SC29732
57-1016163 		     
          No
(248) WILLIAM N GREEN DMD MS

3741 LANDMARK DR
COLUMBIA,SC29204
57-1066352 		     
          No
(249) WILLIAM S BURNS DMD

264 ROCKMONT DR
FORT MILL,SC29708
10-0612743 		     
          No
(250) WINNING ORTHODONTIC SMILES

102 BUCKWALTER PARKWAY
BLUFFTON,SC29910
46-1573442 		     
          No
(251) WOOD CREEK DENTAL OF LANDRUM

1730 HWY 19 E
LANDRUM,SC29356
26-0419919 		     
          No
(252) WOOSTER DENTAL CARE

591 BROWNS COVE RD STE A
RIDGELAND,SC29936
80-0932109 		     
          No
(253) ZAHN MANAGEMENT LLC

425 A LEXINGTON AVE
CHAPIN,SC29036
82-3743429 		     
          No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


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