2024-11-14T09:29:37-06:00 2023-12-31 991856619 GRANT THORNTON ADVISORS LLC 53 STATE STREET SUITE 1600 BOSTON MA 02109 990 2023-01-01 262700504 DELTA DENTAL OF ILLINOIS FOUNDATION DELT 6307184782 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 TERRI BON VP FINANCE & CFO 6307184782 2024-11-14 1 1 ERIN COUTURE P01390592 3128560200 2023 2024-10-15 13:58:12Z TERRI BON 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 1102465 0 X WWW.DELTADENTALIL.COM/DDILFOUNDATION X 2008 IL IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH (CONT IN SCH O) 4 0 0 0 0 0 2207890 713376 0 0 323718 389089 0 0 2531608 1102465 6381666 1646173 0 0 0 0 0 0 0 114626 84779 6496292 1730952 -3964684 -628487 19167268 19731786 1315850 181702 17851418 19550084 DELTA DENTAL OF ILLINOIS FOUNDATION WAS FORMED TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE PEOPLE IN ILLINOIS THROUGH EDUCATION AND ACCESS TO QUALITY HEALTHCARE. 0 0 1290695 887477 IMPROVING THE ORAL HEALTH OF ILLINOIS RESIDENTS, PARTICULARLY CHILDREN, THROUGH ITS PROGRAMMING. EACH OF OUR PROGRAMS REACHES STUDENTS, FAMILIES, CHILDREN, DENTAL AND HEALTH PROFESSIONALS AND COMMUNITIES IN ILLINOIS. THE FOUNDATION'S PROGRAMS FOCUS ON OUR THREE CORE THEMES - ORAL HEALTH EDUCATION AND AWARENESS, ACCESS TO ORAL HEALTH CARE AND EDUCATION FOR ORAL HEALTH PROFESSIONALS. 369751 299412 IMPROVING ACCESS TO DENTAL CARE BY BRINGING ORAL HEALTH EDUCATION AND ASSISTANCE TO ILLINOIS CHILDREN AND FAMILIES IN A VARIETY OF WAYS. OUR LAND OF SMILES ORAL HEALTH EDUCATION PROGRAM VISITS SCHOOLS TO GIVE DENTAL CARE TIPS AND DEMONSTRATE PROPER TECHNIQUES IN AN ENGAGING AND IMPACTFUL WAY TO OUR DENTIST BY 1, WHICH TEACHES THE IMPORTANCE OF EARLY DENTAL VISITS AND HOW TO PROVIDE DENTAL CARE FOR YOUNG CHILDREN. 1660446 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X TERRI BON 6307184782 111 SHUMAN BOULEVARD NAPERVILLE IL 60563 JOHN MAPLES PRESIDENT & DIRECTOR 5.00 40.00 X X 0 2014417 6667 TERRI BON TREASURER & DIRECTOR 5.00 40.00 X X 0 717591 43294 ALEXANDRA PIETRINI DIRECTOR 5.00 40.00 X 0 432786 33397 LORA VITEK EXECUTIVE DIRECTOR OF FOUNDATION 40.00 5.00 X 0 236059 18962 0 3400853 102320 0 0 1 0 THE NATIONAL THEATRE FOR CHLDN INC 7003 W LAKE ST STE 200 MINNEAPOLIS MN 55426 EDUCATIONAL PROGRAMING 238893 RICHARDS GRAPHICS COMMUNICATIONS INC 2700 VAN BUREN ST BELLWOOD IL 60104 COMMERCIAL PRINTER 151458 2 610133 103243 713376 389089 389089 1102465 0 0 389089 1646173 1646173 14273 14273 21000 21000 38711 38711 7748 7748 3032 3032 LICENSING & FEES 15 15 1730952 1660446 70506 0 2496053 1683804 1818656 500000 29180 21106 0 34935 0 0 0 0 14823379 17491941 0 0 19167268 19731786 1315850 181702 0 0 0 0 1315850 181702 X 12851418 14550084 5000000 5000000 17851418 19550084 19167268 19731786 -628487 2327153 0 X 0 1 X 1 0 X X 1 DELTA DENTAL OF ILLINOIS 362612058 10 1 1660445 0 1 1660445 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2: DDIL FOUNDATION HAS A SUPPORTED ORGANIZATION, DELTA DENTAL OF ILLINOIS (DDIL). THE ORGANIZATION DOES NOT HAVE AN IRS DETERMINATION OF A STATUS UNDER SECTION 509(A)(1) OR (2), AS IT IS A 501(C)(4) ORGANIZATION. DDIL, HOWEVER, PREPARES A PUBLIC CHARITY CALCULATION TO DETERMINE IT MEETS THE PUBLIC SUPPORT TEST, AND HAS VERIFIED IT WOULD MEET THE OVERALL TEST UNDER 509(A)(2). PART IV, SECTION A, LINE 3C: DDIL FOUNDATION DOES ENSURE THAT ALL SUPPORT TO DDIL IN 2023 WAS EXCLUSIVELY USED FOR SECTION 170(C)(2)(B) PURPOSES. PER THE ORGANIZATION'S GOVERNING DOCUMENTS, ARTICLE 1 SECTION 1.1 PURPOSE: "THE FOUNDATION IS ORGANIZED, AND AT ALL TIMES SHALL BE OPERATED, EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE CHARITABLE PURPOSES OF DELTA DENTAL OF ILLINOIS." RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5000000 5000000 15709277 10709277 5000000 15709277 15709277 12709277 3000000 15709277 12709277 12709277 1.00000 0 0 0 0 0 0 0 X 3798725 2327153 369107 2696260 1102465 0 1102465 2100059 369107 369107 1730952 0 1730952 PART V, LINE 4: INTENDED USE OF ENDOWMENT FUNDS TO SUPPORT THE LONG TERM OPERATION OF THE FOUNDATION. PART X, LINE 2: ASC 740 FOOTNOTE THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C) (3) AS A NOT-FOR-PROFIT ORGANIZATION. THE FOUNDATION'S APPLICATION OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE FOUNDATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. THE FOUNDATION WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. PART XI, LINE 2B AND PART XII, LINE 2A: THE $369,107 OF DONATED SERVICES ON PART XI AND XII REPRESENTS SALARY, WAGE AND BENEFIT ALLOCATIONS FOR TIME DONATED TO THE FOUNDATION FROM DELTA DENTAL OF ILLINOIS. 1 MIDWESTERN UNIVERSITY 555 31ST STREET DOWNERS GROVE IL 60115 363377699 501(C)(3) 100000 0 SCHOLARSHIP PROGRAM PILLARS COMMUNITY HEALTH 5220 EAST AVE COUNTRYSIDE IL 60525 362170869 501(C)(3) 99412 0 SPECIAL CARE IMMERSIVE TRAINING AND EQUIPMENT NATIONAL HISPANIC DENTAL ASSOCIATION FOUNDATION 17225 EL CAMINO REALSTE 150 HOUSTON TX 77058 363994951 501(C)(3) 38750 0 SCHOLARSHIP AND MENTORSHIP FOR DENTAL AND DENTAL HYGIENE STUDENTS HEARTLAND ALLIANCE 1100 W CERMAK STE 518 CHICAGO IL 60608 363775696 501(C)(3) 35350 0 ORAL HEALTH FORUM- HEALTHY SMILES HEALTHY GROWTH STUDY THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 28395 NETWORK PLACE CHICAGO IL 60673 376000511 501(C)(3) 25603 0 UIC COLLEGE OF DENTISTRY - URBAN DENTAL CAMP DENTAL LIFELINE NETWORK 1800 15TH ST SUITE 100 DENVER CO 80202 846129064 501(C)(3) 25000 0 ANNUAL SPONSORSHIP TO SUPPORT DENTAL TREATMENT IN ILLINOIS AMERICAN DIABETES ASSOCIATION PO BOX 7023 MERRIFIELD VA 22116 131623888 501(C)(3) 25000 0 ANNUAL SPONSORSHIP FOR ILLINOIS CAMPS BOND COUNTY HEALTH DEPARTMENT 1520 S 4TH ST GREENVILLE IL 62246 376000405 501(C)(3) 20000 0 BOND COUNTY HEALTH DEPARTMENT WILL USE FUNDING TO SUPPORT INSTALLATION, CONSTRUCTION, AND EQUIPMENT FOR AN OVERFLOW OPERATORY AT THE BOND COUNTY HEALTH DEPARTMENT CLINIC TO INCREASE CLINIC PRODUCTIVITY AND ACCESS TO CARE. CATS CARE 4141 IL RT 84 HANOVER IL 61041 831410605 501(C)(3) 20000 0 THIS GRANT WILL PROVIDE TRANSPORTATION TO AND FROM THE DENTIST FOR THESE STUDENTS, ENSURING THEY GET THE CARE THEY NEED. CHICAGO FAMILY HEALTH CENTER 9119 S EXCHANGE AVE CHICAGO IL 60617 362893854 501(C)(3) 20000 0 THE GRANT WILL BE USED TO PURCHASE A NEW COMPRESSOR AND TWO ADDITIONAL DIGITAL X-RAY MACHINES FOR ITS SOUTH CHICAGO SITE TO BETTER SERVE ITS DENTAL PATIENTS. IWS FAMILY HEALTH 3600 W FULLERTON CHICAGO IL 60647 362167752 501(C)(3) 20000 0 IWS FAMILY HEALTH DELIVERS ORAL HEALTH SERVICES TO UNDERSERVED CHILDREN. IWS ESTIMATES MORE THAN 4,000 UNDERSERVED CHILDREN 17 YEARS AND YOUNGER WILL HAVE ACCESS TO EQUITABLE ORAL HEALTH CARE, EDUCATION, PREVENTION, AND TREATMENT AS A RESULT OF THIS GRANT. PCC COMMUNITY WELLNESS CENTER 14 LAKE STREET OAK PARK IL 60302 363828320 501(C)(3) 20000 0 PCC WILL USE THE GRANT TO PURCHASE A PANORAMIC RADIOGRAPH MACHINE, WHICH ALLOWS FOR IMPORTANT DIAGNOSTICS FOR CHILDREN AND TEENS. DIAGNOSTICS INCLUDE THE ASSESSMENT OF GROWTH AND DEVELOPMENT, SPACING AND POSITION OF TEETH, MAXILLOFACIAL TRAUMA, AND ASSESSMENT OF ORAL PATHOLOGY. PROMISE HEALTHCARE 819 BLOOMINGTON RD CHAMPAIGN IL 61820 141880824 501(C)(3) 20000 0 PROMISE HEALTHCARE WILL USE THE GRANT TO SUPPORT THE OPENING OF THE NEW KIRBY DENTAL CLINIC BY PROVIDING EQUIPMENT TO OUTFIT TWO DENTAL OPERATORIES. THE NEW CLINIC WILL SUPPORT THE UNMET NEED FOR AFFORDABLE, HIGH-QUALITY DENTAL SERVICES IN CHAMPAIGN COUNTY. RIVERBEND HEAD START & FAMILY SERVICES 550 LANDMARKS BLVD ALTON IL 62002 370681548 501(C)(3) 20000 0 THE ORAL HEALTH EDUCATION AND ACCESS PROJECT PROVIDES ORAL HEALTH SERVICES FOR AT-RISK CHILDREN UNDER THE AGE OF FIVE, INCLUDING ORAL HEALTH EDUCATION FOR CHILDREN AND THEIR CAREGIVERS. FUNDING WILL SUPPORT DENTAL SCREENINGS, TREATMENTS, AND SURGERIES FOR FAMILIES WHO MAY NOT OTHERWISE RECEIVE SERVICES. THE BOARD OF TRUSTEES OF SIU 1235 DOUGLAS DR CARBONDALE IL 62901 376024575 501(C)(3) 20000 0 THE SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL HYGIENE PROGRAM WILL USE THE GRANT TO PURCHASE DENTAL CHAIRS TO PROVIDE ORAL HEALTH CARE AND EDUCATION TO 350 CHILDREN LIVING IN UNDER-RESOURCED RURAL COMMUNITIES. TCA HEALTH INC NFP 1029 EAST 130TH STREET CHICAGO IL 60628 362743287 501(C)(3) 20000 0 FUNDING WILL SUPPORT THE MOBILE CARE COORDINATOR/CASE MANAGER OF TCA'S UNIQUE DENTAL HOME MODEL, PROVIDING COMPREHENSIVE SERVICES TO YOUTH IN CHICAGO'S FAR SOUTH SIDE COMMUNITIES. OUTREACH AND CASE MANAGEMENT WILL ADDRESS THE SOCIAL DETERMINANTS OF HEALTH CONFRONTED BY THEIR COMMUNITIES AND PROVIDE A PROGRAM THAT INTEGRATES ORAL HEALTH AND PRIMARY HEALTH CARE SERVICES. WELL CHILD CENTER (WCC) 620 WING ST ELGIN IL 60123 237348349 501(C)(3) 20000 0 THE WCC PEDIATRIC DENTAL CLINIC AND FIRST TOOTH VISIT PROGRAM PROVIDE COMPREHENSIVE ORAL HEALTH CARE SERVICES AND EDUCATION FOR LOW-INCOME CHILDREN AT LOW-OR NO-COST. IN ADDITION TO CLINIC SUPPORT, FUNDING WILL SUPPORT THE DEVELOPMENT OF CURRICULUM AND TRAINING FOR A NEW ADOLESCENT MENTAL HEALTH AND ORAL HEALTH PROGRAM FOR COMMUNITY MENTAL AND BEHAVIORAL HEALTH PROVIDERS IN KANE COUNTY. THE CURRICULUM WILL INCLUDE LEARNING OBJECTIVES, DATA-DRIVEN CONTENT, CLINICAL CONSIDERATIONS, AND PRACTICAL RECOMMENDATIONS FOR MENTAL/BEHAVIORAL HEALTH PROVIDERS WORKING WITH ADOLESCENTS RELATED TO ORAL HEALTH CONCERNS. THE OUTREACH HOUSE 805 S MAIN ST LOMBARD IL 60148 200545709 501(C)(3) 15000 0 CHAMPION YOUR CHARITY GRANT AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE SUITE 800 CHICAGO IL 60601 131632524 501(C)(3) 15000 0 ANNUAL SPONSORSHIP NEW YORK UNIVERSITY 421 FIRST AVE 10W NEW YORK NY 10010 135562308 501(C)(3) 12500 0 COLLEGE OF DENTISTRY - IMMERSIVE TRAINING SESSIONS HULT CENTER FOR HEALTHY LIVING 5215 N KNOXVILLE AVE PEORIA IL 61614 363510390 501(C)(3) 10000 0 HCHL WILL USE FUNDING TO IMPLEMENT THEIR TOOTH OR CONSEQUENCES PROGRAM FOR 1,000 PRE-KINDERGARTEN THROUGH FIRST-GRADE LOW-INCOME STUDENTS. HCHL WILL CONDUCT PRE- AND POST-TESTS TO MEASURE KNOWLEDGE GAINED. CHILDREN WHO PARTICIPATE WILL USE HANDS-ON PROPS TO PRACTICE BRUSHING AND FLOSSING AND RECEIVE AN ORAL HEALTH BAG, WITH A TOOTHBRUSH, TOOTHPASTE, AND INFORMATION FOR PARENTS AND CAREGIVERS ABOUT THE ORAL HEALTH HABITS LEARNED. MCDONOUGH COUNTY HEALTH DEPARTMENT 505 EAST JACKSON ST MACOMB IL 61455 376001537 501(C)(3) 10000 0 THE MCDONOUGH COUNTY HEALTH DEPARTMENT IS USING FUNDING TO HELP EXPAND THEIR DENTAL EDUCATION SERVICES TO CHILDREN IN THE COUNTY. THE HEALTH DEPARTMENT WILL IMPLEMENT A PROGRAM THAT BRIDGES THE GAP BETWEEN BASIC DENTAL SERVICES PROVIDED IN SCHOOL AND THE NEED FOR MORE EXTENSIVE SERVICES, SUCH AS FILLINGS AND EXTRACTIONS. MILESTONE DENTAL CLINIC 4060 MCFARLAND RD ROCKFORD IL 61111 362769801 501(C)(3) 10000 0 THE GRANT WILL HELP COVER COSTS FOR PREVENTIVE SERVICES, SUCH AS EXAMS, CLEANINGS, AND FLUORIDE, FOR PATIENTS WITHOUT PRIVATE INSURANCE OR MEDICAID COVERAGE. IT WILL ALSO BE USED TO COVER SERVICES NOT COVERED BY PRIVATE INSURANCE OR MEDICAID. ORAL HEALTH FORUM- HEARTLAND ALLIANCE HEALTH 1100 W CERMAK RD SUITE 518 CHICAGO IL 60608 363775696 501(C)(3) 10000 0 FUNDING WILL BE USED FOR AN ELECTRONIC DENTAL REFERRAL NETWORK, DENTEQUITY: THE DENTAL EQUITY NETWORK OF CARE, THE FIRST OF ITS KIND PLATFORM. FUNDING WILL SUPPORT THE OPERATION OF DENTEQUITY - CHICAGO BY COVERING THE CONTRACTUAL EXPENSES TO HOUSE THE PLATFORM AND ACTIVITIES TO RUN AND MONITOR THE PROGRAM. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS 28395 NETWORK PLACE CHICAGO IL 60673 376000511 501(C)(3) 9000 0 SPECIAL CARE DENTISTRY CONFERENCE HISPANIC DENTAL ASSOCIATION 421 HUGUENOT STREET SUITE 54 NEW ROCHELLE NY 10801 363719494 501(C)(3) 8214 0 BUILDING OUR LEADERS IN DENTISTRY. DEDICATED TO DRIVING GREATER DIVERSITY IN THE ORAL HEALTH WORKFORCE AND WILL EXECUTE PROGRAMMING IN 2024 FOCUSED ON INSPIRING YOUTH FROM HISTORICALLY UNDERREPRESENTED GROUPS TO PURSUE CAREERS IN THE ORAL HEALTH PROFESSIONS. PILLARS COMMUNITY HEALTH 5220 EAST AVE COUNTRYSIDE IL 60525 362170869 501(C)(3) 7509 0 SPECIAL CARE IMMERSIVE TRAINING AND EQUIPMENT SOCIETY OF AMERICAN INDIAN DENTIST 230 FAIRVIEW DRIVE CARSON CITY NV 89701 205966903 501(C)(3) 6572 0 TELLING THE STORY OF A PATH TO DENTISTRY. DEDICATED TO DRIVING GREATER DIVERSITY IN THE ORAL HEALTH WORKFORCE AND WILL EXECUTE PROGRAMMING IN 2024 FOCUSED ON INSPIRING YOUTH FROM HISTORICALLY UNDERREPRESENTED GROUPS TO PURSUE CAREERS IN THE ORAL HEALTH PROFESSIONS. NAF 218 WEST 40TH STREET 5TH FLOOR NEW YORK NY 10018 133480246 501(C)(3) 6571 0 PROMOTING ORAL HEALTH PATHWAYS. DEDICATED TO DRIVING GREATER DIVERSITY IN THE ORAL HEALTH WORKFORCE AND WILL EXECUTE PROGRAMMING IN 2024 FOCUSED ON INSPIRING YOUTH FROM HISTORICALLY UNDERREPRESENTED GROUPS TO PURSUE CAREERS IN THE ORAL HEALTH PROFESSIONS. AMERICA'S TOOTHFAIRY 4530 PARK RD STE 320 CHARLOTTE NC 28209 203921574 501(C)(3) 6000 0 AMERICA'S TOOTHFAIRY WILL USE FUNDING FOR THEIR ILLINOIS SMILE GUARDIAN FOOD BANK INITIATIVE THAT SERVES AS A COMMUNITY TOUCHPOINT TO DELIVER ORAL HEALTH EDUCATION AND RESOURCES FOR CHILDREN AND FAMILIES. FOOD BANK PARTNERS WILL RECEIVE ACTIVITY BOOKLETS, BRUSHING CHARTS, AND INFORMATIVE BROCHURES THAT WILL EMPHASIZE NUTRITION AND LOCATING A SAFETY NET DENTAL PROVIDER. ESPERANZA HEALTH CENTERS 1940 S WESTERN AVE SUITE 205 CHICAGO IL 60608 320115907 501(C)(3) 5200 0 ORAL HEALTH LEARNING SESSION-FQHC ROUNDTABLE 31 PART I, LINE 2: GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS IN U.S. THE FOUNDATION REVIEWS AND ANALYZES REQUESTS FOR CHARITABLE GRANTS ON AN ONGOING BASIS. GRANTS ARE AWARDED TO ORGANIZATIONS THAT DEMONSTRATE A CHARITABLE PURPOSE, A COMMUNITY BENEFIT, AND WHO WILL PUT THE USE OF THE FUNDS TOWARD THE CHARITABLE MISSION FOR WHICH THE FOUNDATION WAS FOUNDED. DEPENDING ON THE USE OF THE GRANT, FOLLOW-UP EVALUATION IS PERFORMED THROUGH QUESTIONNAIRES OR MANAGEMENT VISITS OR INTERVIEWS. GRANT FUNDS MAY BE REVOCABLE IF THE GRANTEES' PERFORMANCE OR USE OF FUNDS DOES NOT ALIGN WITH TERMS OF THE GRANT. 0 0 0 0 0 0 0 0 0 JOHN MAPLES PRESIDENT & DIRECTOR 0 867665 0 1135388 0 11364 0 0 0 6667 0 2021084 0 0 TERRI BON TREASURER & DIRECTOR 0 483437 0 224596 0 9558 0 30000 0 13294 0 760885 0 0 ALEXANDRA PIETRINI DIRECTOR 0 285104 0 138123 0 9559 0 22500 0 10897 0 466183 0 0 LORA VITEK EXECUTIVE DIRECTOR OF FOUNDATION 0 152420 0 74075 0 9564 0 11688 0 7274 0 255021 0 0 FORM 990, PART I, LINE 1 EDUCATION AND ACCESS TO QUALITY HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS DELTA DENTAL OF ILLINOIS IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS WHO MAY ELECT DELTA DENTAL OF ILLINOIS AS SOLE MEMBER HAS THE POWER TO ELECT, APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS OR STOCKHOLDERS SUBJECT TO APPROVAL THE SOLE MEMBER HAS THE AUTHORITY TO AUTHORIZE ANY PURCHASING, BORROWING OR DEBT FINANCING IN EXCESS OF A SPECIFIED LIMIT. THE SOLE MEMBER ALSO ESTABLISHES THE PHILOSOPHY AND THE MISSION ACCORDING TO WHICH THE FOUNDATION OPERATES AND CAN AMEND THE FOUNDATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE MEMBER CAN AUTHORIZE THE MERGER OR DISSOLVE THE FOUNDATION; AND TRANSACT TO SELL, PLEDGE OR TRANSFER ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE ORGANIZATION'S BOARD OF DIRECTORS RECEIVE A DRAFT OF FORM 990, INCLUDING ALL SCHEDULES, WHICH ARE REVIEWED WITH ALL VOTING MEMBERS OF THE GOVERNING BODY. MANAGEMENT ADDRESSES ANY QUESTIONS OR COMMENTS SUBMITTED BY THE ORGANIZATION'S GOVERNING BODY BEFORE FILING ITS FORM 990, AND THE FINALIZED FORM IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH THE OFFICERS AND DIRECTORS (TRUSTEES). AFTER THIS REVIEW, THE INDIVIDUALS OCCUPYING THESE POSITIONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. POTENTIAL CONFLICTS ARE LOGGED WITH THE SECRETARY OF THE ORGANIZATION AND ANY CHANGES TO THE DISCLOSURE FORM ARE TO BE REPORTED TO THE LEGAL OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION. DELTA DENTAL OF ILLINOIS 111 SHUMAN BLVD NAPERVILLE IL 60563 362612058 ORAL HEALTH IL 501(C)(4) N/A 0 NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 841939908 TECHNOLOGY DE DDIL DDWI & CORVESTA INC 0 0 TRUASSURE INSURANCE COMPANY 111 SHUMAN BLVD NAPERVILLE IL 60563 363757528 DENTAL INS. IL C 0 PROTEC INSURANCE COMPANY 111 SHUMAN BLVD NAPERVILLE IL 60563 320416457 HEALTH INS. IL C 0 TRUASSURE INSURANCE COMPANY OF COLORADO 111 SHUMAN BLVD NAPERVILLE IL 60563 812595283 DENTAL INS. CO C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 DELTA DENTAL OF ILLINOIS C 610133 FMV DELTA DENTAL OF ILLINOIS O 369107 FMV