Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 10 | NAME: AMERICAN FLUORIDATION INSTITUTE ADDRESS: PO BOX 56392 PORTLAND, OR 97238 CASH CONTRIBUTION: 7,500 |
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE SUPPLIES 2,690 INTERNET, SOFTWARE SUBSCRIPTI 1,319 REPAIRS & MAINTENANCE 190 TRAVEL 10,013 TRAVEL REIMBURSEMENT 279 CONFERENCES AND MEETINGS 1,357 INSURANCE 2,439 OTHER EXPENSES 1,511 TAXES AND LICENSES 223 NON-INVESTMENT DEPRECIATION 1,842 TOTAL 21,863 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 9,205 9,205 LESS ACCUMULATED DEPRECIATION 1,523 3,365 TOTAL 7,682 5,840 |
| FORM 990-EZ, PART II, LINE 26 | CREDIT CARD PAYABLE 3,602 156 |
| FORM 990-EZ, PART III | TO PROMOTE, EDUCATE, AND ADVOCATE FOR THE ADOPTION OF COMMUNITY WATER FLOURIDATION. THE AFS ALSO PROVIDES "BOOTS ON THE GROUND" KNOWLEDGE TO HELP PROTECT EXISTING FLOURIDATION PROGRAMS IN NORTH AMERICA. |
| FORM 990-EZ, PART III, LINE 28 | THE AFS: A.PROMOTED THE FLUORIDATION OF COMMUNITY WATER SYSTEMS THROUGH EDUCATING THE PUBLIC ABOUT THE VITAL HEALTH BENEFITS OF WATER-SUPPLY FLUORIDATION; B.WORKED WITH STATE, LOCAL, AND FEDERAL AGENCIES FOR THE INCREASED UTILIZATION OF COMMUNITY WATER FLUORIDATION TO PROMOTE OPTIMAL ORAL HEALTH IN THOSE COMMUNITIES; AND C. COLLABORATED WITH A BROAD-BASED GROUP OF STAKEHOLDERS INCLUDING GOVERNMENTAL AGENCIES, PRIVATE INSTITUTIONS, NONPROFIT ORGANIZATIONS, COMMUNITY GROUPS AND OTHER INDIVIDUALS AND ORGANIZATIONS WHOSE MISSION IS TO PROMOTE, EDUCATE, AND SUPPORTING OPTIMAL ORAL HEALTH. |
| Software ID: | |
| Software Version: |
| Person Name | Explanation |
|---|---|
| JOHNNY JOHNSON JR | |
| MYRON ALLUKIAN JR | |
| KURT FERRE | |
| JENNIFER MARTINSON RDH | |
| STEVE SLOTT | |
| BRUCE AUSTIN DMD | |
| KIMBERLIE PAYNE RDH MPH |