2024-02-05T14:39:24-06:00 2022-12-31 592873801 MCCORMICK & COMPANY 711 WEST FLETCHER AVE STE A TAMPA FL 33612 990 2022-01-01 260761820 GULF COAST DENTAL OUTREACH INC GULF 8135793935 450 KNIGHTS RUN AVE 1408 TAMPA FL 33602 TERESA MCCORMICK TREASURER 8139311554 2024-02-05 1 TERESA MCCORMICK XXX-XX-XXXX 0 TERESA MCCORMICK P01268490 8139311554 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HARVEY L KERSTEIN 2127 NE COACHMAN RD CLEARWATER BEACH FL 33765 274027 0 X GULFCOASTDENTALOUTREACH.ORG X 2007 FL TO PROVIDE LOW-COST ACCESS TO DENTAL CARE THROUGH EDUCATION, PREVENTION, AND TREATMENT OF DISEASE, FOCUSING ON PINELLAS, PASCO, AND HILLSBOROUGH COUNTIES IN FLORIDA. 12 12 3 46 0 0 152520 129559 7297 5921 10777 -1101 2746 3823 173340 138202 0 0 0 0 104561 107894 0 0 15141 47571 62059 152132 169953 21208 -31751 261114 229253 137 27 260977 229226 TO PROVIDE LOW-COST ACCESS TO DENTAL CARE THROUGH EDUCATION, PREVENTION, AND TREATMENT OF DISEASE, FOCUSING ON PINELLAS, PASCO, AND HILLSBOROUGH COUNTIES IN FLORIDA. 0 0 117623 5921 TO PROVIDE AFFORDABLE DENTAL AND ORAL HYGIENE SERVICES FOR LOWER INCOME INDIVIDUALS. 117623 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X TERESA MCCORMICK TREASURER 8139311554 711 W FLETCHER AVE STE A TAMPA FL 33612 X ROBERT B ETTLEMAN FOUNDING DIRECTOR 10.00 X 0 0 0 LARRY LIEBERMAN DDS MEMBER AT LARGE 2.00 X 0 0 0 WILLIAM KOCHENOUR DDS MS MEMBER AT LARGE 2.00 X 0 0 0 BELINDA WILSON MEMBER AT LARGE 2.00 X 0 0 0 JAMES R PITTS DMD MEMBER AT LARGE 4.00 X 0 0 0 TIMOTHY MCCORMICK MEMBER AT LARGE 13.00 X 0 0 0 NICK ROOKS MEMBER AT LARGE 1.00 X 0 0 0 ELIZABETH SCAROLA MEMBER AT LARGE 3.00 X 0 0 0 JANET ETTLEMAN VICE PRESIDENT 15.00 X 0 0 0 HARVEY L KERSTEIN DDS PRESIDENT 10.00 X 0 0 0 LISA TEBLUM SECRETARY 10.00 X 0 0 0 TERESA MCCORMICK TREASURER 4.00 X 0 0 0 0 0 0 0 0 0 0 0 76308 53251 9606 129559 FACILITY USE ASSESSMEN 621110 5921 5921 5921 4569 4569 125064 130734 -5670 -5670 -5670 8914 76308 5091 3823 3823 138202 5921 0 2722 100211 100211 7683 7683 1640 1640 11750 11750 1513 1513 6593 6593 1534 1534 396 396 872 872 461 461 488 488 3582 3582 GOLF TOURNAMENT 13607 13607 LAB EXPENSE 7969 7969 EQUIPMENT REPAIRS & MAI 3927 3927 TELEPHONE 2703 2703 5024 2850 2174 169953 117623 37189 15141 14660 8036 64707 57171 928 811 40586 40586 0 0 180182 163108 488 149 127 261114 229253 137 27 137 27 X 0 0 0 0 260977 229226 260977 229226 261114 229253 -31751 0 X X 0 0 1 0 X 77531 101722 113018 152520 129559 574350 77531 101722 113018 152520 129559 574350 294925 279425 3731 4395 4854 4432 4569 21981 596331 40168 0.46860 0.45900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29451 29451 0 11135 11135 0 0 DUE TO CAPITAL ONE 27 27 GOLF TOURNAMENT 85222 76308 8914 4800 291 85222 76308 8914 4800 291 5091 3823 FORM 990, PART VI, SECTION A, LINE 2 ROBERT ETTLEMAN AND JANET ETTLEMAN ARE HUSBAND AND WIFE. TERESA MCCORMICK AND TIMOTHY MCCORMICK ARE MOTHER AND SON. FORM 990, PART VI, SECTION B, LINE 11B THE VICE PRESIDENT, FOUNDING DIRECTOR, AND TREASURER REVIEW THE INFORMATION PRESENTED IN THE FORM 990 DURING THE PREPARATION PROCESS. THE FINAL FORM 990 IS PRESENTED TO ALL BOARD MEMBERS PRIOR TO THE FILING OF THE RETURN. THE VICE PRESIDENT APPROVES THE FINAL VERSION OF THE RETURN BEFORE IT IS ELECTRONICALLY FILED WITH INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C PERIODIC REVIEW OF OFFICER AND DIRECTOR COMPLIANCE FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC PART XII, LINE 2C EXPLANATION THE VICE PRESIDENT AND THE TREASURER ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. HOWEVER, THE ENTIRE BOARD PARTICIPATES IN THE SELECTION OF THE OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRECEDING YEAR. SAFE HARBOR ELECTION FOR SMALL TAXPAYERS SECTION 1.263(A)-3(H) SAFE HARBOR ELECTION FOR SMALL TAXPAYERS GULF COAST DENTAL OUTREACH INC 450 KNIGHTS RUN AVE, UNIT 1408 TAMPA, FL 33602 EMPLOYER IDENTIFICATION NUMBER: 26-0761820 FOR THE YEAR ENDING DECEMBER 31, 2022 GULF COAST DENTAL OUTREACH INC IS MAKING THE SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-3(H) FOR THE FOLLOWING ELIGIBLE BUILDING PROPERTY(S). DESCRIPTION OF ELEIGIBLE PROPERTY(S): 301 S DISSTON AVE TARPON SPRINGS, FL 34689 DE MINIMIS SAFE HARBOR ELECTION SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION GULF COAST DENTAL OUTREACH INC 450 KNIGHTS RUN AVE, UNIT 1408 TAMPA, FL 33602 EMPLOYER IDENTIFICATION NUMBER: 26-0761820 FOR THE YEAR ENDING DECEMBER 31, 2022 GULF COAST DENTAL OUTREACH INC IS MAKING THE DE MINIMIS HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F)