Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
ORAL HEALTH FOUNDATION OF THE
PIERRE FAUCHARD ACADEMY
Number and street (or P.O. box number if mail is not delivered to street address)11654 PLAZA AMERICA DRIVE NO 901
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
RESTON, VA20190
A Employer identification number

77-0120371
B Telephone number (see instructions)

(703) 217-1480
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$9,410,285J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 70,710
2 Check bullet.............
3 Interest on savings and temporary cash investments 130,720 130,720  
4 Dividends and interest from securities... 128,822 128,822  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 686,066
b Gross sales price for all assets on line 6a 5,449,493
7 Capital gain net income (from Part IV, line 2)... 686,066
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,016,318 945,608 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 93,800 4,690 0 0
14 Other employee salaries and wages......       89,110
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 9,210 4,605 0 4,605
c Other professional fees (attach schedule).... Click to see attachment 62,857 62,857 0 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 15,060 2,328 0 7,176
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 200 0 0 200
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 34,966 0 0 34,966
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 216,093 74,480 0 136,057
25 Contributions, gifts, grants paid....... 324,762 324,762
26 Total expenses and disbursements. Add lines 24 and 25 540,855 74,480 0 460,819
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 475,463
b Net investment income (if negative, enter -0-) 871,128
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.) 		Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 53,350 35,580 35,580
2 Savings and temporary cash investments......... 206,007 413,359 413,359
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 2,073,985 Click to see attachment1,196,271 1,196,271
b Investments—corporate stock (attach schedule)....... 6,065,570 Click to see attachment7,179,765 7,179,765
c Investments—corporate bonds (attach schedule)....... 495,575 Click to see attachment550,348 550,348
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 51,600 Click to see attachment34,962 34,962
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 8,946,087 9,410,285 9,410,285
Liabilities 17 Accounts payable and accrued expenses.......... 42 42
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 42 42
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 8,946,045 9,410,243
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........    
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 8,946,045 9,410,243
30 Total liabilities and net assets/fund balances (see instructions). 8,946,087 9,410,285
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............
1
8,946,045
2
Enter amount from Part I, line 27a .....................
2
475,463
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
9,421,508
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
11,265
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
9,410,243
Form 990-PF (2020)
Form 990-PF (2020)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)		 (b)
How acquired
P—Purchase
D—Donation 		(c)
Date acquired
(mo., day, yr.) 		(d)
Date sold
(mo., day, yr.)
1 a PUBLICLY TRADED SECURITIES P    
b
c
d
e
(e)
Gross sales price 		(f)
Depreciation allowed
(or allowable) 		(g)
Cost or other basis
plus expense of sale 		(h)
Gain or (loss)
(e) plus (f) minus (g)
a 5,449,493   4,763,427 686,066
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69 		(j)
Adjusted basis
as of 12/31/69 		(k)
Excess of col. (i)
over col. (j), if any
a       686,066
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 686,066
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved 		(b)
Reserved 		(c)
Reserved 		(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 12,109
c All other domestic foundations enter 1.39% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 12,109
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 12,109
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 6,800
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 6,800
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 5,309
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2020 or the taxable year beginning in 2020? See the instructions for Part XIV.
    If "Yes," complete Part XIV .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletWWW.FOUNDATIONPFA.ORG
    14
    The books are in care ofbulletTHE FOUNDATION JENNIFER TEALE ED Telephone no.bullet (703) 217-1480

    Located atbullet11654 PLAZA AMERICA DRIVE NO 901RESTONVA ZIP+4bullet20190
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
    No
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2020.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
    No
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    HOWARD MARK DMD PRESIDENT
    2.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    STEVEN HEDLUND DDS VICE PRESIDENT
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    MICHAEL PERPICH DDS TREASURER
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    JOSEPH HARRIS DDS GRANTS CHAIRMAN
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    CHARLES G ELLER DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    GARY W LOWDER DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    JAMES E LONG DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    KEVIN L ROACH DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    MICHAEL SCHAFHAUSER DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    RICHARD SAWERS DDS TRUSTEE
    1.00     		0 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    JENNIFER TEALE EXECUTIVE DIRECTOR
    40.00     		93,800 0 0
    11654 PLAZA AMERICA DR 901
    RESTON,VA20190
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 STUDENT SCHOLARSHIPS: PROMOTING THE STUDY AND RESEARCH OF DENTISTRY BY PROVIDING SCHOLARSHIPS TO DENTAL STUDENTS. 85,262
    2 HUMANITARIAN GRANTS: GRANTS TO DENTAL SCHOOLS, FACILITIES AND ORGANIZATIONS TO ASSIST THOSE UNDERSERVED WITH ORAL HEALTH CARE. 239,500
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    8,643,804
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    8,643,804
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    8,643,804
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    129,657
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    8,514,147
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    425,707
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    425,707
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    12,109
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    12,109
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    413,598
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    413,598
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    413,598
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    460,819
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    460,819
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b. See instructions.................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    460,819
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2019     		(c)
    2019     		(d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 413,598
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015......  
    b From 2016...... 2,976
    c From 2017...... 89,928
    d From 2018...... 5,829
    e From 2019...... 34,715
    fTotal of lines 3a through e........ 133,448
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 460,819
    a Applied to 2019, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2020 distributable amount..... 413,598
    e Remaining amount distributed out of corpus 47,221
    5 Excess distributions carryover applied to 2020. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 180,669
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......     		180,669
    10 Analysis of line 9:
    a Excess from 2016.... 2,976
    b Excess from 2017.... 89,928
    c Excess from 2018.... 5,829
    d Excess from 2019.... 34,715
    e Excess from 2020.... 47,221
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ANGKOR HOSPITAL FOR CHILDREN
    TEP VONG ROAD AND OUM CHHAY ST
    PREAH SANGREACH TEP VONG ST
    KRONG SIEM REAP    
    CB     		NONE PC DENTAL SERVICES 7,500
    CALIFORNIA DENTAL ASSOCIATION FOUNDATION
    1201 K STREET 14 FLOOR
    SACRAMENTO,CA95814     		NONE PC DENTAL SERVICES 7,500
    CHRIST COMMUNITY HEALTH SERVICES AUGUSTA
    PO BOX 2344
    AUGUSTA,GA30903     		NONE PC DENTAL SERVICES 5,000
    COLORADO MISSION OF MERCY
    7615 WINDING OAKS DRIVE
    COLORADO SPRINGS,CO80919     		NONE PC DENTAL SERVICES 5,000
    FLORIDA DENTAL ASSOCIATION FOUNDATION
    545 JOHN KNOX RD SUITE 200
    TALLAHASSEE,FL32303     		NONE PC DENTAL SERVICES 7,500
    FOOTBRIDGE
    PO BOX 1716
    WELCOME,NC27374     		NONE PC DENTAL SERVICES 5,000
    G3 FOUNDATION
    206 EAST UNION STREET
    MANTI,UT84642     		NONE PC DENTAL SERVICES 5,000
    GLOBAL DENTAL RELIEF
    2090 S GRANT ST
    DENVER,CO80210     		NONE PC DENTAL SERVICES 5,000
    GLOBAL FOUNDATION FOR DENTAL HEALTH AND AWARENESS
    535 THOMAS DRIVE
    LOGANVILLE,GA30052     		NONE PC DENTAL SERVICES 7,500
    GARCES FAMILY FOUNDATION
    1901 S 9TH STREET 205
    PHILADELPHIA,PA19148     		NONE PC DENTAL SERVICES 7,500
    HAITI OUTREACH MINISTRIES
    PO BOX 71042
    DURHAM,NC27722     		NONE PC DENTAL SERVICES 7,500
    HEALING CALIFORNIA
    545 S RAYMOND AVE
    PASADENA,CA91105     		NONE PC DENTAL SERVICES 7,500
    HEALTH MISSION OUTREACH
    1655 DUFFERIN STREET SUITE 100
    TORONTO    
    CA     		NONE PC DENTAL SERVICES 7,500
    HEALTH OUTREACH
    37 KENNETH AVENUE
    TORONTO    
    CA     		NONE PC DENTAL SERVICES 5,000
    HEALTHY SMILES OF SPARTANBURG INC
    PO BOX 1441
    SPARTANBURG,SC29304     		NONE PC DENTAL SERVICES 7,500
    HOLLAND FREE HEALTH CLINIC
    99 W 26TH STREET
    HOLLAND,MI49423     		NONE PC DENTAL SERVICES 7,500
    HOPE DENTAL CLINIC
    800 MINNENAHA AVENUE E STE 465
    ST PAUL,MN55106     		NONE PC DENTAL SERVICES 9,000
    INSTITUTE OF HEALTH CARE MANAGEMENT KICOSHEP MEDICAL COMPLEX
    PO BOX 2399-0202
    NAIROBI    
    KE     		NONE PC DENTAL SERVICES 5,000
    IOWA DENTAL FOUNDATION
    666 GRAND AVE SUITE 901
    DES MOINES,IA50309     		NONE PC DENTAL SERVICES 5,000
    KNIGHT'S LANDING ONE HEALTH CLINIC
    513 ISLA PLACE
    DAVIS,CA95616     		NONE PC DENTAL SERVICES 3,000
    MISSION LEXINGTON
    230 S MARTIN LUTHER KING BLVD
    LEXINGTON,KY40508     		NONE PC DENTAL SERVICES 5,000
    OASIS FREE CLINICS
    66 BARIBEAU DRIVE BOX 1
    BRUNSWICK,ME04011     		NONE PC DENTAL SERVICES 5,000
    OCI FOUNDATION LIMITED
    35 NEWPORT DRIVE
    ROBINA    
    AS     		NONE PC DENTAL SERVICES 7,500
    SMILE FOREVER FOUNDATION
    PO BOX 217
    RENTON,WA98057     		NONE PC DENTAL SERVICES 7,500
    SMILE INTERNATIONAL FOUNDATION
    3980 LARIAT RIDGE
    NEW BRAUNFELS,TX78132     		NONE PC DENTAL SERVICES 10,000
    SMILEFAITH INC
    9775 HIGHWAY 805
    JENKINS,KY41537     		NONE PC DENTAL SERVICES 7,500
    SOUTH BAY CHILDREN'S HEALTH CENTER
    410 CAMINO REAL
    REDONDO BEACH,CA90277     		NONE PC DENTAL SERVICES 5,000
    STRONG ISLAND FOUNDATION
    2 RIDGEVIEW CRESCENT
    BONOGIN    
    AS     		NONE PC DENTAL SERVICES 5,000
    SUSAN DEW HOFF MEMORIAL CLINIC
    623 LIBERTY STREET PO BOX 128
    WEST MILFORD,WV26451     		NONE PC DENTAL SERVICES 7,500
    THE DOCTORS' VOLUNTEER CLINIC
    1036 E RIVERSIDE DRIVE
    ST GEORGE,UT84790     		NONE PC DENTAL SERVICES 7,500
    THE MARYLAND FOUNDATION OF DENTISTRY
    8901 HERRMANN DRIVE
    COLUMBIA,MD21045     		NONE PC DENTAL SERVICES 5,000
    THE OAR FOUNDATION
    110 ASHBOURNE LAKE COURT
    CLEMMONS,NC27012     		NONE PC DENTAL SERVICES 5,000
    THE RHODE ISLAND ORAL HEALTH FOUNDATION
    1438 PARK AVENUE
    WOONSOCKET,RI02895     		NONE PC DENTAL SERVICES 5,000
    UNIVERSITY OF ADELAIDE
    LEVEL 3 HELEN MAYO NORTH FROME RD
    ADELAIDE    
    AS     		NONE PC DENTAL SERVICES 5,000
    UNIVERSITY OF HEALTH CARE
    KICOSHEP MEDICAL COMPLEX PO BOX
    2399-0202
    NAIROBI    
    KE     		NONE PC DENTAL SERVICES 5,000
    VIRGINIA DENTAL ASSOCIATION FOUNDATION
    3460 MAYLAND COURT STE 00
    RICHMOND,VA23233     		NONE PC DENTAL SERVICES 5,000
    VOLUNTEER MINISTRY CENTER
    1154 KINGSTON PIKE STE B
    KNOXVILLE,TN37917     		NONE PC DENTAL SERVICES 7,500
    WEST VIRGINIA HEALTH RIGHT
    1520 WASHINGTON STREET EAST
    CHARLESTON,WV25311     		NONE PC DENTAL SERVICES 7,500
    AT STILL UNIVERSITY MISSOURI SCHOLL OF DENTRISTRY AND ORAL HEALTH
    800 W JEFFERSON ST
    KIRKSVILLE,MO63501     		NONE PC STUDENT SCHOLARSHIP 1,000
    AT STILL UNIVERSITY (ARIZONA)
    5850 EAST STILL CIRCLE
    MESA,AZ85206     		NONE PC STUDENT SCHOLARSHIP 1,000
    BP KOIRALA HEALTH INSTITUTE OF HEALTH SCIENCES
    BUDDAH ROAD
    DHARAN    
    NP     		NONE PC STUDENT SCHOLARSHIP 250
    CASE WESTERN RESERVE UNIVERSITY
    10900 EUCLID AVENUE
    CLEVELAND,OH414064905     		NONE PC STUDENT SCHOLARSHIP 1,000
    COLUMBIA UNIVERSITY
    630 WEST 168TH STREET
    NEW YORK,NY10032     		NONE PC STUDENT SCHOLARSHIP 1,000
    CREIGHTON UNIVERSITY
    1011 N UNIVERSITY AVE
    ANN ARBOR,MI481091078     		NONE PC STUDENT SCHOLARSHIP 1,000
    EAST CAROLINA UNIVERSITY
    1851 MACGREGOR DOWNS ROAD MAIL STOP
    701
    GREENVILLE,NC278324354     		NONE PC STUDENT SCHOLARSHIP 1,000
    HARVARD UNIVERSITY
    188 LONGWOOD AVENUE
    BOSTON,MA02115     		NONE PC STUDENT SCHOLARSHIP 1,000
    HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
    925 W 34TH STREET
    LOS ANGELES,CA900896041     		NONE PC STUDENT SCHOLARSHIP 1,000
    HOWARD UNIVERSITY
    600 W STREET NW
    WASHINGTON,DC20059     		NONE PC STUDENT SCHOLARSHIP 1,000
    KYUSHU UNIVERSITY SCHOOL OF DENTISTRY
    3-1-1 MAIDASHI HIGASHI-KU
    FUKUOKA    
    JA     		NONE PC STUDENT SCHOLARSHIP 1,000
    LECOM COLLEGE OF DENTAL MEDICINE
    4800 LAKEWOOD RANCH BLVD
    BRADENTON,FL34211     		NONE PC STUDENT SCHOLARSHIP 1,000
    LOUISIANA STATE UNIVERSITY
    1100 FLORIDA AVENUE
    NEW ORLEANS,LA701192799     		NONE PC STUDENT SCHOLARSHIP 1,000
    MARQUETTE UNIVERSITY
    1801 W WISCONSIN AVENUE
    MILWAUKEE,WI53233     		NONE PC STUDENT SCHOLARSHIP 1,000
    MEDICAL UNIVERSITY OF SOUTH CAROLINA
    173 ASHLEY AVE MSC 507 PO BOX
    250507
    CHARLESTON,SC294255070     		NONE PC STUDENT SCHOLARSHIP 1,000
    MEHARRY SCHOOL OF DENTISTRY
    1005 DB TODD BLVD
    NASHVILLE,TN37208     		NONE PC STUDENT SCHOLARSHIP 2,000
    MIDWESTERN UNIVERSITY
    19555 N 59TH AVE
    GLENDALE,AZ85308     		NONE PC STUDENT SCHOLARSHIP 1,000
    MIDWESTERN UNIVERSITY - ILLINOIS
    555 31ST STREET
    DOWNERS GROVE,IL60515     		NONE PC STUDENT SCHOLARSHIP 1,000
    NEW YORK UNIVERSITY
    345 EAST 24TH STREET
    NEW YORK,NY10010     		NONE PC STUDENT SCHOLARSHIP 1,000
    OSAKA DENTAL UNIVERSITY SCHOOL OF DENTISTRY
    8-1 KUZUHAHANAZONO-CHO HIRAKATA-SHI
    OSAKA    
    JA     		NONE PC STUDENT SCHOLARSHIP 1,000
    PIERRE FAUCHARD ACADEMY (AUSTRALIA)
    PO BOX 950
      MOSS VALENSW 2577
    AS     		NONE PC STUDENT SCHOLARSHIP 9,000
    PIERRE FAUCHARD ACADEMY (CANADA)
    304-5885 COTE DES NEIGES
    MONTREAL,QUEBECH3S 2T2
    CA     		NONE PC STUDENT SCHOLARSHIP 10,000
    PIERRE FAUCHARD ACADEMY (INDIA)
    41 EAST 400 NORTH 546
    LOGANVILLE,UT843214020     		NONE PC STUDENT SCHOLARSHIP 1,000
    ROSEMAN UNIVERSITY
    10920 S RIVERFRONT PARK
    SOUTH JORDAN,UT84095     		NONE PC STUDENT SCHOLARSHIP 1,000
    RUTGERS SCHOOL OF DENTAL MEDICINE
    110 BERGEN STREET
    NEWARK,NJ07103     		NONE PC STUDENT SCHOLARSHIP 1,000
    SOUTHERN ILLINOIS UNIVERSITY
    2800 COLLEGE AVENUE BLDG 273/2300
    ALTON,IL62002     		NONE PC STUDENT SCHOLARSHIP 1,000
    STONY BROOK SCHOOL OF DENTAL MEDICINE
    HEALTH SCIENCES CENTER 154 ROCKLAND
    HALL
    STONY BROOK,NY117948700     		NONE PC STUDENT SCHOLARSHIP 1,000
    TEMPLE UNIVERSITY THE MAURICE H KORNBERG SCHOOL OF DENTISTRY
    3223 NORTH BROAD STREET
    PHILADELPHIA,PA19140     		NONE PC STUDENT SCHOLARSHIP 1,000
    TEXAS A&M UNIVERSITY
    3302 GASTON AVENUE
    DALLAS,TX75246     		NONE PC STUDENT SCHOLARSHIP 1,000
    THE DENTAL COLLEGE OF GEORGIA AT AUGUSTA UNIVERSITY
    1120 15TH STREET RM AD 1119
    AUGUSTA,GA309120200     		NONE PC STUDENT SCHOLARSHIP 1,000
    THE UNIVERSITY OF HONG KONG THE PRINCE PHILIP DENTAL HOSPITAL
    34 HOSPITAL RD
    SAI YING PUN    
    HK     		NONE PC STUDENT SCHOLARSHIP 1,000
    THE UNIVERSITY OF IOWA
    100 DENTAL SCIENCE BLDG
    IOWA CITY,IA52242     		NONE PC STUDENT SCHOLARSHIP 1,000
    TOURO COLLEGE DENTAL MEDICINE AT NEW YORK MEDICAL COLLEGE (NYMC)
    19 SKYLINE DRIVE
    HAWTHORNE,NY10532     		NONE PC STUDENT SCHOLARSHIP 1,000
    TUFTS UNIVERSITY
    ONE KNEELAND STREET
    BOSTON,MA02111     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSIDAD DEL MAYAB SC
    KM 155 CARRETERA MERIDA-PROGRESO
    INT KM 2 CARR
    MERIDA    
    MX     		NONE PC STUDENT SCHOLARSHIP 1,012
    UNIVERSITY OF ALABAMA
    1530 3RD AVENUE S SDB 406
    BIRMINGHAM,AL352940007     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF BUFFALO
    325 SQUIRE HALL 3435 MAIN STREET
    BUFFALO,NY142143008     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF CALIFORNIA AT LOS ANGELES SCHOOL OF DENTISTRY CENTER FOR HEAL
    10833 LE CONTE AVE
    LOS ANGELES,CA900951668     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO SCHOOL OF DENTISTRY
    513 PARNASSUS AVE S-630
    SAN FRANCISCO,CA94143     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF COLORADO
    13065 E 17TH AVENUE MAIL STOP F831
    AURORA,CO80045     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF CONNECTICUT
    263 FARMINGTON AVENUE
    FARMINGTON,CT060303915     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF DETROIT MERCY
    2700 MARTIN LUTHER KING JR BLVD MB
    98
    DETROIT,MI482082576     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF FLORIDA
    1600 SW ARCHER RD RM D4-6 PO BOX
    100405
    GAINESVILLE,FL326100405     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
    801 SOUTH PAULINA STREET SUITE 102
    CHICAGO,IL60612     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF KENTUCKY
    800 ROSE STREET D 136 UKMC
    LEXINGTON,KY405360297     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF LOUISVILLE
    501 S PRESTON STREET
    LOUISVILLE,KY40292     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF MARYLAND
    650 W BALTIMORE STREET
    BALTIMORE,MD21201     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF MICHIGAN
    1011 N UNIVERSITY AVE
    ANN ARBOR,MI481091078     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF MINNESOTA
    ROOM 15-209 MOOS TOWER 515 SE
    DELAWARE STREET
    MINNEAPOLIS,MN55455     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF MISSISSIPPI
    2500 NORTH STATE STREET
    JACKSON,MS392164505     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF MISSOURI
    650 EAST 25TH STREET
    KANSAS CITY,MO64108     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF NEBRASKA
    40TH HOLDREGE STREETS
    LINCOLN,NE685830740     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF NEVADA
    40TH HOLDREGE STREETS
    LINCOLN,NE685830740     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF NEW ENGLAND
    716 STEVENS AVE
    PORTLAND,ME04103     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF NORTH CAROLINA
    3/8 COLUMBIA STREET CAMPUS BOX 7450
    CHAPEL HILL,NC27599     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF OKLAHOMA
    1201 N STONEWALL AVENUE
    OKLAHOMA CITY,OK73117     		NONE PC STUDENT SCHOLARSHIP 2,000
    UNIVERSITY OF PENNSYLVANIA
    240 SOUTH 40TH STREET ROBERT
    SHATTNER CENTER
    PHILADELPHIA,PA191046030     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF PITTSBURGH
    1201 N STONEWALL AVENUE
    OKLAHOMA CITY,OK73117     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF PUERTO RICO SCHOOL OF DENTAL MEDICINE
    MAIN BUILDING- OFFICE A103B 1ST
    FLOOR
    SAN JUAN,SAN JUAN00935-50567
    RQ     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF TEXAS SCHOOL OF DENTISTRY AT HOUSTON
    7500 CAMBRIDGE STREET
    HOUSTON,TX77054     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF THE PACIFIC
    155 5TH STREET
    SAN FRANCISCO,CA94103     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF UTAH
    530 S WAKARA WAY
    SALT LAKE CITY,UT84108     		NONE PC STUDENT SCHOLARSHIP 1,000
    UNIVERSITY OF WASHINGTON
    D322 HEALTH SCIENCES BLDG 1959 NE
    PACIFIC ST BOX 356365
    SEATTLE,WA98195     		NONE PC STUDENT SCHOLARSHIP 1,000
    UT HEALTH SCIENCE CENTER SCHOOL OF DENTISTRY
    7703 FLOYD CURL DRIVE
    SAN ANTONIO,TX782847917     		NONE PC STUDENT SCHOLARSHIP 1,000
    VIRGINIA COMMONWEALTH UNIVERSITY
    520 NORTH 12TH STREET 450 LYONS
    BUILDING
    RICHMOND,VA23298     		NONE PC STUDENT SCHOLARSHIP 1,000
    WEST VIRGINIA UNIVERSITY
    1150 HSC NORTH/MEDICAL CENTER DRIVE
    PO BOX 9400
    MORGANTOWN,WV265069400     		NONE PC STUDENT SCHOLARSHIP 1,000
    WESTERN UNIVERSITY OF HEALTH SCIENCES
    309 E SECOND STREET
    POMONA,CA91766     		NONE PC STUDENT SCHOLARSHIP 1,000
    Total .................................bullet 3a 324,762
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........     		    14 130,720  
    4 Dividends and interest from securities....     14 128,822  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 686,066  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 945,608 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    945,608
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2020 AccountingFeesSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 9,210 4,605 0 4,605

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 550,348 550,348

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 7,179,765 7,179,765

    TY 2020 InvestmentsGovtObligationsSch
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    US Government Securities - End of Year Book Value:

    1,843
    US Government Securities - End of Year Fair Market Value:

    1,843
    State & Local Government Securities - End of Year Book Value:


    1,194,428
    State & Local Government Securities - End of Year Fair Market Value:


    1,194,428


    TY 2020 InvestmentsOtherSchedule2
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ACCRUED INTEREST FMV 34,962 34,962

    TY 2020 OtherDecreasesSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Description Amount
    UNREALIZED LOSS ON INVESTMENTS 11,265


    TY 2020 OtherExpensesSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OFFICE EXPENSE 2,503 0 0 2,503
    PAYROLL SERVICE FEES 1,044 0 0 1,044
    POSTAGE 2,161 0 0 2,161
    BANK FEES 1,033 0 0 1,033
    INSURANCE - DIRECTORS & OFFICERS 1,778 0 0 1,778
    ADMINISTRATIVE FEE 26,447 0 0 26,447


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 62,857 62,857 0 0


    TY 2020 TaxesSchedule
    Name:
    ORAL HEALTH FOUNDATION OF THE
     
    PIERRE FAUCHARD ACADEMY
    EIN:
    77-0120371
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL 7,176 0 0 7,176
    TAXES & LICENSES 5,556 0 0 0
    FOREIGN TAXES 2,328 2,328 0 0