Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
right arrowDo not enter social security numbers on this form as it may be made public.
right arrowGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
For calendar year 2023, or tax year beginning 01-01-2023 , and ending 12-31-2023
Name of foundation
WYOMING DELTA DENTAL FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)6705 FAITH DRIVE
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHEYENNE, WY82009
A Employer identification number

30-0799719
B Telephone number (see instructions)

(307) 632-3313
C right arrow
G Check all that apply:

D 1. Foreign organizations, check here............. right arrow
2. Foreign organizations meeting the 85%
test, check here and attach computation ... right arrow
E right arrow
H Check type of organization:
F right arrow
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)right arrow$2,349,784J 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) 500,850
2 Check right arrow.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 53,850 53,850 53,850
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 25,385
b Gross sales price for all assets on line 6a 624,427
7 Capital gain net income (from Part IV, line 2)... 25,385
8 Net short-term capital gain......... 0
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)....... Click to see attachment
List of Attached Documents:
// Content
19,035 0 19,035
12 Total. Add lines 1 through 11........ 599,120 79,235 72,885
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 3,301 3,301 3,301 0
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
800 800 800 0
c Other professional fees (attach schedule).... Click to see attachment
List of Attached Documents:
// Content
7,254 7,254 7,254 0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)...        
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment
List of Attached Documents:
// Content
7,723 5,013 7,723 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,078 16,368 19,078 0
25 Contributions, gifts, grants paid....... 407,926 407,926
26 Total expenses and disbursements. Add lines 24 and 25 427,004 16,368 19,078 407,926
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 172,116
b Net investment income (if negative, enter -0-) 62,867
c Adjusted net income (if negative, enter -0-)... 53,807
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2023)
Form 990-PF (2023)
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............. 183,623 166,674 166,674
2 Savings and temporary cash investments......... 74,126 49,459 49,459
3 Accounts receivable right arrow502,842
Less: allowance for doubtful accounts right arrow   402,147 502,842 502,842
4 Pledges receivable right arrow  
Less: allowance for doubtful accounts right arrow        
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) right arrow  
Less: allowance for doubtful accounts right arrow        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 0 Click to see attachment
List of Attached Documents:
// Content
247,539 		247,539
b Investments—corporate stock (attach schedule)....... 193,243 Click to see attachment
List of Attached Documents:
// Content
252,148 		252,148
c Investments—corporate bonds (attach schedule)....... 295,696 Click to see attachment
List of Attached Documents:
// Content
244,274 		244,274
11 Investments—land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 897,615 Click to see attachment
List of Attached Documents:
// Content
882,736 		882,736
14 Land, buildings, and equipment: basis right arrow  
Less: accumulated depreciation (attach schedule) right arrow        
15 Other assets (describe right arrow) Click to see attachment
List of Attached Documents:
// Content
1,919 		Click to see attachment
List of Attached Documents:
// Content
4,112 		Click to see attachment
List of Attached Documents:
// Content
4,112
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,048,369 2,349,784 2,349,784
Liabilities 17 Accounts payable and accrued expenses.......... 35,208 18,579
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 right arrow)    
23 Total liabilities (add lines 17 through 22)......... 35,208 18,579
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here right arrow
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions........... 1,000,000 2,331,205
25 Net assets with donor restrictions............ 1,013,161 0
Foundations that do not follow FASB ASC 958, check here right arrow
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)..... 2,013,161 2,331,205
30 Total liabilities and net assets/fund balances (see instructions). 2,048,369 2,349,784
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
2,013,161
2
Enter amount from Part I, line 27a .....................
2
172,116
3
Other increases not included in line 2 (itemize) right arrowClick to see attachment
List of Attached Documents:
// Content
3
145,928
4
Add lines 1, 2, and 3 ..........................
4
2,331,205
5
Decreases not included in line 2 (itemize) right arrow
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
2,331,205
Form 990-PF (2023)
Form 990-PF (2023)
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 AMERICAN FUNDS EUROPACIFIC GROWTH FUND P 2018-11-13 2023-03-07
b AMERICAN FUNDS EUROPACIFIC GROWTH FUND P 2020-05-06 2023-03-07
c AMERICAN FUNDS EUROPACIFIC GROWTH FUND P 2021-06-15 2023-03-07
d VANGUARD EMERGING MARKETS STOCK INDEX FUND P 2021-06-16 2023-03-07
e VANGUARD EMERGING MARKETS STOCK INDEX FUND/UNITED STATES P 2018-11-13 2023-03-07
MATERIALS SELECT SECTOR SPDR FUND P 2018-06-08 2023-03-17
MATERIALS SELECT SECTOR SPDR FUND P 2020-05-26 2023-03-17
INVESCO QQQ TRUST SERIES P 2022-03-14 2023-04-05
ISHARES CORE S&P SMALL-CAP ETF P 2020-04-14 2023-04-11
SPDR S&P SEMICONDUCTOR ETF P 2021-03-10 2023-04-13
SPDR S&P SEMICONDUCTOR ETF P 2021-03-10 2023-04-13
TECHNOLOGY SELECT SECTOR SPDR FUND P 2018-08-17 2023-06-01
TECHNOLOGY SELECT SECTOR SPDR FUND P 2019-05-14 2023-06-01
MICROSOFT CORP P 2017-04-25 2023-08-01
PALO ALTO NETWORKS INC P 2021-05-24 2023-08-01
APPLE INC P 2017-04-25 2023-08-01
FEDEX CORP P 2017-04-25 2023-08-09
FEDEX CORP P 2021-05-24 2023-08-09
ACTIVISION BLIZZARD INC. P 2021-06-15 2023-08-14
ARTISAN HIGH INCOME FUND P 2022-09-15 2023-10-20
ACTIVISION BLIZZARD INC. P 2021-06-15 2023-10-13
ACTIVISION BLIZZARD INC. P 2021-12-16 2023-10-13
VANGUARD 500 INDEX FUND P 2017-04-04 2023-12-07
VANGUARD 500 INDEX FUND P 2018-04-06 2023-12-07
VANGUARD 500 INDEX FUND P 2020-05-06 2023-12-07
VANGUARD SHORT-TERM CORPORATE BOND ETF P 2021-05-24 2023-03-22
VANGUARD SHORT-TERM CORPORATE BOND ETF P 2022-01-03 2023-03-22
VANGUARD INTERMEDIATE-TERM TREASURY ETF P 2022-04-28 2023-06-30
UNITED STATES TREASURY BILL ZERO 05 OCT2023 @ 97.67% P 2023-04-05 2023-10-05
(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 15,367   14,283 1,084
b 10,998   9,756 1,242
c 4,588   6,291 -1,703
d 17,543   23,578 -6,035
e 19,833   18,934 899
1,592   1,272 320
303   217 86
85,395   90,881 -5,486
28,494   17,787 10,707
5,081   4,592 489
4,891   4,415 476
6,739   2,988 3,751
4,109   1,864 2,245
4,384   882 3,502
251   123 128
588   109 479
1,862   1,325 537
798   931 -133
4,189   4,429 -240
43,288   45,134 -1,846
1,140   1,155 -15
3,135   2,022 1,113
18,933   9,720 9,213
26,468   15,000 11,468
19,039   11,811 7,228
109,481   68,905 40,576
    49,899 -49,899
15,017   15,739 -722
170,921   175,000 -4,079
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       1,084
b       1,242
c       -1,703
d       -6,035
e       899
      320
      86
      -5,486
      10,707
      489
      476
      3,751
      2,245
      3,502
      128
      479
      537
      -133
      -240
      -1,846
      -15
      1,113
      9,213
      11,468
      7,228
      40,576
      -49,899
      -722
      -4,079
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 25,385
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 -4,079
Part V
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 right arrow 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) 1 874
b All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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........................... 3 874
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- ..... 5 874
6 Credits/Payments:
a 2023 estimated tax payments and 2022 overpayment credited to 2023 6a 0
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 0
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 1
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......right arrow 9 875
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...right arrow 10  
11 Enter the amount of line 10 to be: Credited to 2024 estimated taxright arrow   Refundedright arrow 11  
Form 990-PF (2023)
Form 990-PF (2023)
Page 4
Part VI-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. right arrow$ 0(2) On foundation managers.right arrow$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.right arrow$ 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:
round bullet By language in the governing instrument, or
round bullet 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
 
No
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 XIV..................................
7
Yes
 
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
right arrowWY
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 .Click to see attachment
List of Attached Documents:
// Content
8b
 
No
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 2023 or the taxable year beginning in 2023? See the instructions for Part XIII.
If "Yes," complete Part XIII .............................
9
Yes
 
10
Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
and addresses. ...............................
10
 
No
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 addressright arrowN/A
14
The books are in care ofright arrowPATRICIA GUZMAN Telephone no.right arrow (307) 632-3313

Located atright arrow6705 FAITH DRIVECHEYENNEWY ZIP+4right arrow82009
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........right arrow
and enter the amount of tax-exempt interest received or accrued during the year ........right arrow
15
 
16 At any time during calendar year 2023, 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 right arrow
Form 990-PF (2023)
Form 990-PF (2023)
Page 5
Part VI-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? ...........
1a(1)
 
No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? ..............................
1a(2)
 
No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
1a(3)
 
No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
1a(4)
 
No
(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)? ......................
1a(5)
 
No
(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.) ...............
1a(6)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check here ........right arrow
d
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 2023? .............
1d
 
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 2023, did the foundation have any undistributed income (Part XII, lines 6d
and 6e) for tax year(s) beginning before 2023?....................
2a
 
No
If "Yes," list the years right arrow20, 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.
right arrow20, 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? ..............................
3a
 
No
b
If "Yes," did it have excess business holdings in 2023 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 2023.) .....................
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 2023? ..
4b
 
No
Form 990-PF (2023)
Form 990-PF (2023)
Page 6
Part VI-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))? ..........
5a(1)
 
No
(2) Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive? ....................
5a(2)
 
No
(3) Provide a grant to an individual for travel, study, or other similar purposes? .............
5a(3)
 
No
(4) Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions ........................
5a(4)
 
No
(5) Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? .............
5a(5)
 
No
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
 
 
c
Organizations relying on a current notice regarding disaster assistance check .........right arrow
d
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? .................
5d
 
 
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? .............................
6a
 
No
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?
7a
 
No
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? .........................
8
 
No
Part VII
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
PATRICIA GUZMAN PRESIDENT
10.00 		0 0 0
2114 YEARLING DRIVE
FORT COLLINS,CO80525
KERRY HALL VICE PRESIDENT
5.00 		0 0 0
718 SHADOW MOUNTAIN TRAIL
CHEYENNE,WY82009
WILLIAM GERN CHAIRMAN
1.00 		0 0 0
1067 GRANITO DRIVE
LARAMIE,WY82072
DR DAN MORRISON SECRETARY/TREASURER
1.00 		0 0 0
3631 OVERDALE DR
GILLETTE,WY82718
DAN HOFFMAN DIRECTOR
1.00 		0 0 0
810 18TH STREET STE 2
EVANSTON,WY82930
DR JEFFREY STOREY DIRECTOR
1.00 		0 0 0
7308 HAWTHORNE DRIVE
CHEYENNE,WY82009
TYLER NEERIEMER DIRECTOR
1.00 		0 0 0
445 KINGFISHER AVENUE
SHERIDAN,WY82801
DR DERRIK WALTON DIRECTOR
1.00 		0 0 0
708 SKYLINE DRIVE
CODY,WY82414
DR MARK O'FARRELL DIRECTOR
1.00 		0 0 0
916 DEWAR DRIVE
ROCK SPRINGS,WY82901
DR AARON TAFF DIRECTOR
1.00 		0 0 0
1763 HAYFORD AVE
LARAMIE,WY82072
DR JOHN MCPHERSON DIRECTOR
1.00 		0 0 0
1255 N 15TH STREET
LARAMIE,WY82072
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...................right arrow 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 7
Part VII
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.............right arrow0
Part VIII-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 TO PROVIDE A LOW COST DENTAL PROGRAM FOR WYOMING SENIORS OVER AGE 65 ON LIMITED INCOMES 324,286
2 TO PROVIDE TOOTHBRUSHES, FLOSS AND TOOTHPASTE TO ORGANIZATIONS AND SCHOOLS SERVING THE SEGMENTS OF THE PUBLIC IN MOST NEED OF DENTAL CARE 56,963
3 TO PROVIDE SCHOLARSHIPS TO STUDENTS IN DENTAL SCHOOL WHO INTEND TO PRACTICE DENTISTRY IN THE STATE OF WYOMING 11,500
4 TO PROVIDE ORAL HEALTH EDUCATIONAL MATERIALS TO NEW MOMS WHOSE BABIES ARE BORN IN WYOMING HOSPITALS. 2,637
Part VIII-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.........................right arrow0
Form 990-PF (2023)
Form 990-PF (2023)
Page 8
Part IX
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
1,513,831
b
Average of monthly cash balances.......................
1b
242,417
c
Fair market value of all other assets (see instructions)................
1c
0
d
Total (add lines 1a, b, and c).........................
1d
1,756,248
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
1,756,248
4
Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
instructions) .............................
4
26,344
5
Net value of noncharitable-use assets. Subtract line 4 from line 3. ............
5
1,729,904
6
Minimum investment return. Enter 5% (0.05) of line 5................
6
86,495
Part X
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 IX, line 6..................
1
 
2a
Tax on investment income for 2022 from Part V, line 5.......
2a
 
b
Income tax for 2022. (This does not include the tax from Part V.) ...
2b
 
c
Add lines 2a and 2b............................
2c
 
3
Distributable amount before adjustments. Subtract line 2c from line 1............
3
 
4
Recoveries of amounts treated as qualifying distributions................
4
 
5
Add lines 3 and 4............................
5
 
6
Deduction from distributable amount (see instructions).................
6
 
7
Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...
7
 
Part XI
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
407,926
b
Program-related investments—total from Part VIII-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 XII, line 4. .......
4
407,926
Form 990-PF (2023)
Form 990-PF (2023)
Page 9
Part XII
Undistributed Income (see instructions)
(a)
Corpus 		(b)
Years prior to 2022 		(c)
2022 		(d)
2023
1 Distributable amount for 2023 from Part X, line 7  
2 Undistributed income, if any, as of the end of 2022:
a Enter amount for 2022 only.......  
b Total for prior years:20 , 20, 20  
3 Excess distributions carryover, if any, to 2022:
a From 2018......  
b From 2019......  
c From 2020......  
d From 2021......  
e From 2022......  
f Total of lines 3a through e ........  
4Qualifying distributions for 2023 from Part
XI, line 4: right arrow$  
a Applied to 2022, but not more than line 2a  
b Applied to undistributed income of prior years
(Election required—see instructions)..... 		 
c Treated as distributions out of corpus (Election
required—see instructions)........ 		 
d Applied to 2023 distributable amount.....  
e Remaining amount distributed out of corpus  
5 Excess distributions carryover applied to 2023.    
(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  
b Prior years’ undistributed income. Subtract
line 4b from line 2b .......... 		 
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...... 		 
d Subtract line 6c from line 6b. Taxable amount
—see instructions ........... 		 
e Undistributed income for 2022. Subtract line
4a from line 2a. Taxable amount—see
instructions ............. 		 
f Undistributed income for 2023. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2024 .......... 		 
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) ....... 		 
8 Excess distributions carryover from 2018 not
applied on line 5 or line 7 (see instructions) ... 		 
9 Excess distributions carryover to 2024.
Subtract lines 7 and 8 from line 6a ...... 		 
10 Analysis of line 9:
a Excess from 2019....  
b Excess from 2020....  
c Excess from 2021....  
d Excess from 2022....  
e Excess from 2023....  
Form 990-PF (2023)
Form 990-PF (2023)
Page 10
Part XIII
Private Operating Foundations (see instructions and Part VI-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 2023, enter the date of the ruling ...... right arrow
 
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 IX for each
year listed .......... 		Tax year Prior 3 years (e) Total
(a) 2023 (b) 2022 (c) 2021 (d) 2020
53,807 12,043 0 0 65,850
b 85% (0.85) of line 2a ......... 45,736 10,237 0 0 55,973
c Qualifying distributions from Part XI,
line 4 for each year listed ..... 		407,926 408,043 0 0 815,969
d Amounts included in line 2c not used directly
for active conduct of exempt activities .......... 		0 0 0 0 0
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c .... 		407,926 408,043 0 0 815,969
3 Complete 3a, b, or c for the
alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......         0
(2) Value of assets qualifying
under section 4942(j)(3)(B)(i)		         0
b “Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part IX, line 6 for each year listed .. 		57,663 57,175 0 0 114,838
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) .... 		        0
(2) Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii).... 		        0
(3) Largest amount of support
from an exempt organization		         0
(4) Gross investment income         0
Part XIV
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 right arrow
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PATRICIA GUZMAN
6705 FAITH DRIVE
CHEYENNE,WY82009
(307) 632-3313
WYDDFOUNDATION@DELTADENTALWY.ORG
bThe form in which applications should be submitted and information and materials they should include:
APPLY DURING OPEN ENROLLMENT PERIOD.
cAny submission deadlines:
PROGRAM APPLICATION OPENS IN OCTOBER FOR THE NEXT CALENDAR YEAR.
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE WYOMING SMILES SENIOR DENTAL PROGRAM IS SPONSORED BY THE WYOMING DELTA DENTAL FOUNDATION AND PROVIDES FREE DENTAL INSURANCE TO LOW-INCOME SENIORS WHO RESIDE IN THE STATE OF WYOMING. SENIORS MUST BE AGE 65 AND UP, MUST NOT HAVE ANY DENTAL INSURANCE, AND BE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE PROGRAM HAS 400 SLOTS AVAILABLE EACH YEAR, AND ENROLLMENT WILL BE ON A FIRST COME, FIRST SERVE BASIS. ONCE THE PROGRAM IS FULL, WE WILL ESTABLISH A WAITING LIST.
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PATRICIA GUZMAN
6705 FAITH DRIVE
CHEYENNE,WY82009
(307) 632-3313
WYDDFOUNDATION@DELTADENTALWY.ORG
bThe form in which applications should be submitted and information and materials they should include:
FILL OUT WEBSITE SUBMISSION ONLINE DELTADENTALWY.ORG/FOUNDATION
cAny submission deadlines:
N/A
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THROUGH OUR SMILE BAG PROGRAM WE DONATE ORAL HEALTH MATERIALS TO ORGANIZATIONS ACROSS THE STATE OF WYOMING INCLUDING SCHOOLS, CHURCHES, HOMELESS SHELTERS, ETC. SMILE BAGS INCLUDE TOOTHBRUSHES, TOOTHPASTE AND FLOSS. SMILE BAGS CAN BE REQUESTED YEAR-ROUND. PLEASE ALLOW TWO WEEKS MINIMUM FOR REQUESTS TO BE FILLED.
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PATRICIA GUZMAN
6705 FAITH DRIVE
CHEYENNE,WY82009
(307) 632-3313
WYDDFOUNDATION@DELTADENTALWY.ORG
bThe form in which applications should be submitted and information and materials they should include:
FILL OUT WEBSITE SUBMISSION ONLINE DELTADENTALWY.ORG/FOUNDATION
cAny submission deadlines:
N/A
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THROUGH A PARTNERSHIP WITH THE WYOMING DENTAL ASSOCIATION, THE FOUNDATION PROVIDES NEW MOMS WHO HAVE A BABY IN A WYOMING HOSPITAL AN ORAL HEALTH KIT. THE KIT INCLUDES A GUM CLEANER, A TODDLER TOOTHBRUSH, AN ADULT TOOTHBRUSH AND ORAL HEALTH TIPS FOR TAKING CARE OF BABY'S TEETH AND GUMS. ANY WYOMING HOSPITAL THAT HAS A BIRTHING CENTER IS ELIGIBLE TO RECEIVE THE ORAL HEALTH KITS.
aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
PATRICIA GUZMAN
6705 FAITH DRIVE
CHEYENNE,WY82009
(307) 632-3313
WYDDFOUNDATION@DELTADENTALWY.ORG
bThe form in which applications should be submitted and information and materials they should include:
CONTACT FOUNDATION FOR INFORMATION
cAny submission deadlines:
N/A
dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
THE WYOMING DELTA DENTAL FOUNDATION OFFERS STUDENTS FROM WYOMING, THE EARL B. KINCHELOE, DDS SCHOLARSHIP. SCHOLARSHIPS ($500 EACH) ARE GIVEN TO WYOMING STUDENTS ATTENDING DENTAL SCHOOL AT THE UNIVERSITY OF NEBRASKA SCHOOL OF DENTISTRY, CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY, AND ANY OTHER DENTAL SCHOOL ACROSS THE UNITED STATES. SCHOLARSHIPS ARE ONLY AVAILABLE TO STUDENTS A MAXIMUM OF 4 TIMES. IF A STUDENT MUST REPEAT A YEAR OR DELAY A YEAR, THEY ARE NOT ELIGIBLE FOR AN ADDITIONAL SCHOLARSHIP. SCHOLARSHIPS ARE AWARDED IN THE SPRING OF EACH YEAR.
Form 990-PF (2023)
Form 990-PF (2023)
Page 11
Part XIV
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

DENTAL LIFELINE NETWORK

1800 15TH STREET
DENVER,CO80202 		  NC GENERAL SUPPORT 6,000

CASPER CHILDREN'S DENTAL CLINIC

102 N KENWOOD ST
CASPER,WY82601 		  NC GENERAL SUPPORT 2,804

O'FARRELL FAMILY DENTAL LLC

916 DEWAR DR
ROCK SPRINGS,WY82901 		  NC GENERAL SUPPORT 3,736
Total .................................right arrow 3a 12,540
bApproved for future payment
Total ................................. right arrow 3b 0
Form 990-PF (2023)
Form 990-PF (2023)
Page 12
Part XV-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
Related or exempt
function income
(See instructions.)
1Program service revenue: (a)
Business code 		(b)
Amount 		(c)
Exclusion code 		(d)
Amount
a
b
c
d
e
f
gFees and contracts from government agencies          
2 Membership dues and assessments ....          
3 Interest on savings and temporary cash
investments ........... 		         
4 Dividends and interest from securities ....     14 53,850  
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 25,385  
9 Net income or (loss) from special events:     01 16,325  
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 95,560 0
13Total. Add line 12, columns (b), (d), and (e)..................
13
95,560
(See worksheet in line 13 instructions to verify calculations.)
Part XV-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 XV-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 (2023)
Form 990-PF (2023)
Page 13
Part XVI
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)
Yes
 
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
1c
Yes
 
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
1c 3,301 DELTA DENTAL PLAN OF WYOMING COMPENSATION FROM RELATED ORGANIZATION
1b(6) 500,000 DELTA DENTAL PLAN OF WYOMING DONATION FOR FOUNDATION PROGRAMS
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
DELTA DENTAL OF WYOMING 501(C)(4) THE FOUNDATION WAS ESTABLISHED SO DELTA DENTAL COULD PROVIDE SUPPORT TO A 501(C)(3) CHARITABLE ORGANIZATION. THE FOUNDATION SPONSORS PROGRAMS THAT PREVENT DENTAL DISEASE AND ADVANCE THE SCIENCE AND PRACTICE OF DENTISTRY. DELTA DENTAL HAS NO OWNERSHIP OF THE FOUNDATION BUT DOES HAVE A CONTROLLING INTEREST VIA MAJORITY REPRESENTAION ON THE FOUNDATION'S BOARD OF DIRECTORS. IN ADDITION, DELTA DENTAL IS CONSIDERED TO HAVE AN ECONOMIC INTEREST IN THE FOUNDATION.
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.
right arrow right arrow
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 Check if self-
employed right arrow		 PTIN
Firm's name SmallBullet
 Firm's EIN SmallBullet
Firm's address SmallBullet


 Phone no.
Form 990-PF (2023)
Additional Data


Software ID:  
Software Version:  


Form 990PF - Special Condition Description:
Special Condition Description
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
WYOMING DELTA DENTAL FOUNDATION
 
Employer identification number

30-0799719
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
WYOMING DELTA DENTAL FOUNDATION
  		Employer identification number
30-0799719
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
1
DELTA DENTAL PLAN OF WYOMING
 
6705 FAITH DRIVE
 
CHEYENNE, WY82009

$ 500,000


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

$  


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

$  


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

$  


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

$  


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

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
WYOMING DELTA DENTAL FOUNDATION
  		Employer identification number

30-0799719
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
WYOMING DELTA DENTAL FOUNDATION
  		Employer identification number

30-0799719
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID:  
Software Version:  

TY 2023 AccountingFeesSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
ACCOUNTING 800 800 800 0

TY 2023 ExplnOfNonFilingWithAGStmt
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Statement:
NOT REQUIRED

TY 2023 InvestmentsCorpBondsSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Name of Bond End of Year Book Value End of Year Fair Market Value
CITIGROUP INC 3.3% 27 APR 2025 24,418 24,418
GOLDMAN SACHS GROUP INC/THE 3% 15 MAR 39,774 39,774
VANGUARD INTERMEDIATE-TERM CORPORATE BOND ETF 131,186 131,186
WELLS FARGO & CO 3% 19 FEB 2025 48,896 48,896

TY 2023 InvestmentsCorpStockSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Name of Stock End of Year Book Value End of Year Fair Market Value
ABBOTT LABORATORIES 2,972 2,972
ALPHABET INC 11,175 11,175
AMAZON.COM INC 21,424 21,424
AMERICAN EXPRESS CO 5,995 5,995
APPLE INC 18,868 18,868
BERKSHIRE HATHAWAY INC 8,560 8,560
BLACKSTONE INC 7,593 7,593
BRISTOL-MYERS SQUIBB CO 3,951 3,951
CHARLES SCHWAB CORP/THE 6,742 6,742
CISCO SYSTEMS INC 10,407 10,407
CITIGROUP INC 3,652 3,652
COMCAST CORP 4,780 4,780
COSTCO WHOLESALE CORP 6,601 6,601
EMERSON ELECTRIC CO 3,601 3,601
FEDEX CORP 2,277 2,277
GOLDMAN SACHS GROUP INC/THE 5,787 5,787
HONEYWELL INTERNATIONAL INC 3,775 3,775
INTERCONTINENTAL EXCHANGE INC 3,853 3,853
JPMORGAN CHASE & CO 5,613 5,613
LOWE'S COS INC 12,685 12,685
MASCO CORP 4,086 4,086
MCDONALD'S CORP 5,930 5,930
MICROSOFT CORP 18,802 18,802
MONDELEZ INTERNATIONAL INC 7,460 7,460
NIKE INC 8,034 8,034
PALO ALTO NETWORKS INC 9,436 9,436
PEPSICO INC 3,906 3,906
QUALCOMM INC 3,326 3,326
SALESFORCE INC 6,052 6,052
SKYWORKS SOLUTIONS INC 3,485 3,485
UNION PACIFIC CORP 6,386 6,386
UNITEDHEALTH GROUP INC 8,950 8,950
WALMART INC 8,671 8,671
WALT DISNEY CO 7,313 7,313

TY 2023 InvestmentsGovtObligationsSch
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
US Government Securities - End of Year Book Value:

247,539
US Government Securities - End of Year Fair Market Value:

247,539
State & Local Government Securities - End of Year Book Value:


0
State & Local Government Securities - End of Year Fair Market Value:


0


TY 2023 InvestmentsOtherSchedule2
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
ARTISAN HIGH INCOME FUND FMV 32,612 32,612
COMMUNICATION SERVICES SELECT SECTOR SPDR FUND FMV 10,027 10,027
CONSUMER DISCRETIONARY SELECT SECTOR SPDR FUND FMV 1,967 1,967
CONSUMER STAPLES SELECT SECTOR SPDR FUND FMV 5,402 5,402
DFA EMERGING MARKETS SMALL CAP PORTFOLIO FMV 35,624 35,624
DOUBLELINE TOTAL RETURN BOND FUND FMV 44,159 44,159
ENERGY SELECT SECTOR SPDR FUND FMV 16,516 16,516
FIDELITY EMERGING MARKETS INDEX FUND FMV 38,213 38,213
FIDELITY INTERNATIONAL INDEX FUND FMV 70,627 70,627
FINANCIAL SELECT SECTOR SPDR FUND FMV 5,189 5,189
GOLDMAN SACHS EMERGING MARKETS EQUITY INSIGHTS FUND FMV 39,175 39,175
GOLDMAN SACHS INTERNATIONAL SMALL CAP INSIGHTS FUND FMV 34,350 34,350
HEALTH CARE SELECT SECTOR SPDR FUND FMV 27,412 27,412
INDUSTRIAL SELECT SECTOR SPDR FUND FMV 12,995 12,995
INVESCO DEVELOPING MARKETS FUND FMV 40,074 40,074
ISHARES BIOTECHNOLOGY ETF FMV 7,200 7,200
ISHARES CORE MSCI EUROPE ETF FMV 30,976 30,976
ISHARES CORE S&P 500 ETF FMV 56,838 56,838
ISHARES CORE S&P MID-CAP ETF FMV 59,587 59,587
ISHARES CORE S&P SMALL-CAP ETF FMV 48,063 48,063
ISHARES CURRENCY HEDGED MSCI EAFE ETF FMV 33,054 33,054
ISHARES IBONDS DEC 2032 TERM CORPORATE ETF FMV 30,806 30,806
ISHARES PREFERRED AND INCOME SECURITIES ETF FMV 38,208 38,208
MATERIALS SELECT SECTOR SPDR FUND FMV 9,153 9,153
REAL ESTATE SELECT SECTOR SPDR FUND FMV 6,650 6,650
SPDR S&P SEMICONDUCTOR ETF FMV 8,992 8,992
TECHNOLOGY SELECT SECTOR SPDR FUND FMV 22,520 22,520
UTILITIES SELECT SECTOR SPDR FUND FMV 5,003 5,003
VANGUARD HIGH-YIELD CORPORATE FUND FMV 16,254 16,254
VANGUARD INTERMEDIATE-TERM TREASURY ETF FMV 95,090 95,090

TY 2023 OtherAssetsSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
OTHER ASSETS 1,919 4,112 4,112


TY 2023 OtherExpensesSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
OTHER EXPENSES 4,951 4,951 4,951 0
DUES AND FEES 62 62 62 0
GOLF TOURNAMENT EXPENSE 2,710 0 2,710 0


TY 2023 OtherIncomeSchedule2
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
GROSS INCOME FROM SPECIAL FUNDRAISING EVENTS 19,035   19,035


TY 2023 OtherIncreasesSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Description Amount
UNREALIZED GAIN/LOSS 126,710
CHANGE IN OCI 19,218


TY 2023 OtherProfessionalFeesSchedule
Name:
WYOMING DELTA DENTAL FOUNDATION
EIN:
30-0799719
Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT 7,254 7,254 7,254 0