2025-10-22T11:08:49-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990PF 2024-01-01 860842694 DELTA DENTAL PLAN OF ARIZONA CHARITABLE FOUNDATION AND TRUST DELT 6029383131 14850 NORTH SCOTTSDALE RD SUITE 40 SCOTTSDALE AZ 85254 MARK ANDERSON CFO 6029383131 2025-10-20 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-10-20 2024 2025-03-06 01:10:19Z X 2803389 X 1785160 2542 2542 68423 68423 168123 990032 168123 2024248 239088 0 0 0 0 0 510 255 0 255 4165 2082 0 2083 950 475 0 475 2381 0 0 0 7634 0 0 1145 297124 4282 0 272776 312764 7094 0 276734 1434069 1434069 1746833 7094 0 1710803 277415 231994 0 114345 151392 151392 101646 68295 68295 8822 8000 8000 1348818 1564548 1564548 745383 713221 954465 32819 55792 55792 992 897 897 2352825 2562145 2803389 14514 1206 201 8002 14715 9208 X 2338110 2552937 2338110 2552937 2352825 2562145 2338110 277415 0 2615525 62588 2552937 NORTHERN TRUST - 9601 P 2024-12-31 990032 821909 168123 168123 168123 3225 0 3225 0 3225 2620 0 2500 0 5120 X 0 1895 1895 0 0 0 0 0 0 0 0 0 0 0 1 1 AZ 1 0 0 0 0 1 WWW.DELTADENTALAZ.COM/FOUNDATION MARK ANDERSON 6029383131 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL JONES 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 CHAIRMAN 2.00 0 0 0 SHAHARYAR ASHRAF DDS 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 SECRETARY/TREASURER 1.00 0 0 0 ERIC HEISER 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 DIRECTOR 1.00 0 0 0 LAILA HISHAW DDS 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 DIRECTOR 1.00 0 0 0 JULIA WACLOFF 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 DIRECTOR 1.00 0 0 0 MONICA VILLALOBOS 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 DIRECTOR 1.00 0 0 0 JESSICA YANOW MPH 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 PROMOTING ORAL HEALTH BY DISTRIBUTING TOOTHBRUSHES, FLOSS, TOOTHPASTE AND EDUCATIONAL MATERIALS. IMPROVING ORAL HEALTH IN THE STATE OF ARIZONA BY GIVING GRANTS, EQUIPMENT AND SUPPLIES FOR NONPROFIT DENTAL CLINICS, SCHOOLS AND ORGANIZATIONS TO HELP UNDER-SERVED POPULATIONS ACCESS DENTAL CARE. ADDITIONALLY, IMPROVING ACCESS TO FOOD FOR UNDERSERVED POPULATIONS ACROSS THE STATE BY FUNDING FOOD BANKS, FOOD PANTRIES, FOOD DISTRIBUTION PROGRAMS AND NUTRITIONAL EDUCATIONAL PROGRAMS. 276734 0 2307284 184374 0 2491658 0 0 2491658 37375 2454283 122714 122714 3225 3225 119489 0 119489 0 119489 1710803 0 1710803 119489 0 0 767593 1543460 1200917 1212203 1877964 6602137 1710803 0 0 0 119489 1591314 0 0 8193451 0 0 0 0 0 0 767593 7425858 1543460 1200917 1212203 1877964 1591314 BARB KOZUH 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 6025883935 DELTAFOUNDATION@DELTADENTALAZ.COM GUIDELINES ARE PROVIDED ON THE WEBSITE AT DELTADENTALAZ.COM/FOUNDATION AND THE APPLICATION QUESTIONS SHOULD BE ANSWERED IN A WORD DOCUMENT AND ACCOMPANIED BY A 501C3 LETTER OF DETERMINATION, CURRENT ORGANIZATIONAL BUDGET, LIST OF BOARD OF DIRECTORS, CURRENT 990, AND PROJECT BUDGET. VARY BY APPLICATION PROCESS, BUT TYPICALLY OPEN IN SEPTEMBER AND CLOSE IN OCTOBER OF EACH YEAR. APPLICANTS MUST PROVIDE OR RUN PROGRAMS THAT PROVIDE ORAL HEALTH OR NUTRITION SERVICES TO UNDER-SERVED POPULATIONS IN THE STATE OF ARIZONA. ADELANTE HEALTHCARE 500 W THOMAS RD SUITE 870 PHOENIX AZ 85013 NONE PUBLIC CHARITY COMMUNITY GRANT 28000 ADVANCE COMMUNITY 1911 W EARLL DRIVE PHOENIX AZ 85015 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 ARIZONA PBS 555 N CENTRAL AVE PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 100000 AT STILL UNIVERSITY 800 W JEFFERSON ST KIRKSVILLE MO 63501 NONE PUBLIC CHARITY COMMUNITY GRANT 47708 AYUDA SMILES 1250 N VIA ALAMOS GREEN VALLEY AZ 85714 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 AZDA CARES FOUNDATION 3193 N DRINKWATER BLVD SCOTTSDALE AZ 85251 NONE PUBLIC CHARITY COMMUNITY GRANT 40545 BACK TO SCHOOL CLOTHING DRIVE 360 E CORONADO RD 200 PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 CHILDREN'S CLINICS FOR REHABILITATIVE SERVICES 2600 N WYATT DR TUCSON AZ 85712 NONE PUBLIC CHARITY COMMUNITY GRANT 16240 CHILDREN'S MUSUEM OF PHOENIX 215 N 7TH ST PHOENIX AZ 85034 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 CHIRICAHUA COMMUNITY HEALTH CENTERS 1100 F AVE DOUGLAS AZ 85607 NONE PUBLIC CHARITY COMMUNITY GRANT 22500 COMMUNITY FOOD BANK OF SOUTHERN ARIZONA 3003 S COUNTRY CLUB RD TUCSON AZ 85713 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 DIANA GREGORY OUTREACH SERVICES 1934 E CAMELBACK RD PHOENIX AZ 85016 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 DIGNITY HEALTH FOUNDATION EAST VALLEY 1727 W FRYE ROAD 230 CHANDLER AZ 85224 NONE PUBLIC CHARITY COMMUNITY GRANT 27500 EL RIO HEALTH CENTER FOUNDATION 839 W CONGRESS TUCSON AZ 85745 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 FOOTHILLS FOOD BANK & RESOURCE CENTER 4250 E CAREFREE HWY CAVE CREEK AZ 85331 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 FOUNDATION FOR SENIOR LIVING 1201 E THOMAS RD PHOENIX AZ 85014 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 GREAT AZ PUPPET THEATER 302 W LATHAM ST PHOENIX AZ 85003 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 HARVEST COMPASSION CENTER 4744 E THUNDERBIRD RD STE 9 PHOENIX AZ 80532 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 KITCHEN ON THE STREET 2650 E MOHAWK LN STE 168 PHOENIX AZ 85050 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 LIVE & LEARN PROGRAM 326 E CORONADO RD PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 20000 LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST 2502 E UNIVERSITY DRIVE SUITE 125 PHOENIX AZ 85034 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 MCMILLEN HEALTH FOR NAVAJO NATION 600 JIM KELLEY BLVD FORT WAYNE IN 46816 NONE PUBLIC CHARITY COMMUNITY GRANT 15757 NATIONAL KIDNEY FOUNDATION OF ARIZONA 360 E CORONADO RD SUITE 180 PHOENIX AZ 85004 NONE PUBLIC CHARITY COMMUNITY GRANT 17500 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH (NOAH) 16225 N CAVE CREEK RD PHOENIX AZ 85032 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 NEW YORK UNIVERSITY 70 WASHINGTON SQ SOUTH NEW YORK NY 10012 NONE PUBLIC CHARITY COMMUNITY GRANT 27500 NORTH COUNTRY HEALTHCARE PO BOX 3630 FLAGSTAFF AZ 86003 NONE PUBLIC CHARITY COMMUNITY GRANT 25000 NORTHERN AZ COUNCIL OF GOVERNMENTS 119 E ASPEN AVE FLAGSTAFF AZ 86001 NONE PUBLIC CHARITY COMMUNITY GRANT 10095 PHOENIX CHILDREN'S HOSPITAL 1919 E THOMAS ROAD PHOENIX AZ 85016 NONE PUBLIC CHARITY COMMUNITY GRANT 75419 PRESCOTT COMMUNITY CUPBOARD FOOD BANK 777 W HILLSIDE AVE PRESCOTT AZ 86301 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 RIO SALADO COLLEGE 2323 W 14TH ST TEMPE AZ 85281 NONE PUBLIC CHARITY COMMUNITY GRANT 13305 SEDONA COMMUNITY FOOD BANK 30 INSPRIATIONAL DR SEDONA AZ 86336 NONE PUBLIC CHARITY COMMUNITY GRANT 5000 SENIOR CITIZENS OF PATAGONIA 100 QUIROGA LN PATAGONIA AZ 85624 NONE PUBLIC CHARITY COMMUNITY GRANT 7000 SOCIETY OF ST VINCENT DE PAUL PO BOX 13600 PHOENIX AZ 850023600 NONE PUBLIC CHARITY COMMUNITY GRANT 100000 SOUTHWEST HUMAN DEVELOPMENT 2850 N 24TH STREET PHOENIX AZ 85008 NONE PUBLIC CHARITY COMMUNITY GRANT 22500 ST MARYS FOOD BANK 3131 W THOMAS RD PHOENIX AZ 85017 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 SUN LIFE HEALTH PO BOX 10097 CASA GRANDE AZ 85130 NONE PUBLIC CHARITY COMMUNITY GRANT 22500 SUNSET COMMUNITY HEALTH CENTER PO BOX 538 SOMERTON AZ 85350 NONE PUBLIC CHARITY COMMUNITY GRANT 30000 THE SMILEZONE 5290 W BROOKSHIRE ST MONROE MI 48161 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 TOOTH BUDDS PO BOX 937 PIMA AZ 85543 NONE PUBLIC CHARITY COMMUNITY GRANT 50000 TUCSON CHILDREN'S MUSEUM 200 S 6TH AVE TUCSON AZ 85701 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 UMOM NEW DAY CENTERS 3333 E VAN BUREN ST PHOENIX AZ 85008 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 UNITED FOOD BANK 245 S NINA DR MESA AZ 85210 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 UNIVERSITY OF AZ - ORAL HEALTH CURRICULUM 1200 E UNIVERSITY BLVD TUCSON AZ 85721 NONE PUBLIC CHARITY COMMUNITY GRANT 300000 VALLEYWISE HEALTH FOUNDATION 5050 N 40TH ST 110 PHOENIX AZ 85018 NONE PUBLIC CHARITY COMMUNITY GRANT 15000 YOUTH ON THEIR OWN (YOTO) 2525 N COUNTRY CLUB RD TUCSON AZ 85716 NONE PUBLIC CHARITY COMMUNITY GRANT 10000 1434069 0 14 2542 14 68423 18 168123 0 239088 0 239088 0 0 0 0 0 0 0 0 1 1c 362062 ARIZONA DENTAL INSURANCE SERVICE INC ARIZONA DENTAL INSURANCE SERVICE, INC. PROVIDES THE ORGANIZATION FREE USE OF FACILITIES, OFFICE EQUIPMENT AND STAFF. 1 ARIZONA DENTAL INSURANCE SERVICE INC 501(C)(4) UP TO 4 COMMON BOARD MEMBERS AND PRESIDENT/CEO X X 1 DELTA DENTAL OF ARIZONA 14850 NORTH SCOTTSDALE RD SUITE 400 SCOTTSDALE AZ 85254 1740318 X 2 THUNDERBIRDS CHARITIES 7226 N 16TH ST SUITE 100 PHOENIX AZ 85020 12500 X ACCOUNTING 4165 2082 0 2083 MFB NORTHERN FUNDS BD INDEX FD 350262 350262 MFO BLACKROCK FDS V HIGH YIELD BD PORT INSTLCL 109018 350262 MFC FLEXSHARES TR TR IBOXX 3 YR TARGET DURATION TIPS INDEX FD 60745 60745 MFC FLEXSHARES TRUST HIGH YIELD VALUE SCORED BOND INDEX FUND 96615 96615 MFC ISHARES TRUST ISHARES 5-10 YEAR INVESTMENT GRADE CORPORATE BOND ETF 96581 96581 MFB NORTHERN FUNDS EMERGING MARKETS EQUITYINDEX 46678 46678 MFO DFA INVT DIMENSIONS GROUP INC 213699 213699 MFB NORTHERN EQUITY INDEX FUNDS INTL EQT INDEX 69709 69709 MFO CAUSEWAY CAP MGMT TR INTL VALUE FD INSTL CL 95065 95065 MFO HARDING LOEVNER FDS INC INTL EQUITY PORTFOLIO 70618 70618 MFB NORTHERN FUNDS STK INDEX FD 96741 96741 MFO DFA INVESTMENT DIMENSIONS GROUP INC US SMALL CAP 70401 70401 MFO DFA INVT DIMENSIONS GROUP INC U S CORE EQUITY 1 PORT 539877 539877 MFC FLEXSHARES TR MORNINGSTAR GLOBAL UPSTREAM NAT RES INDEX FD 89991 89991 MFC FLEXSHARES TRUST STOXX GLOBAL BROAD INFRASTRUCTURE IDX 55579 55579 MFC DIMENSIONAL ETF TR INTL CORE ETF 167900 167900 MFC ISHARES CORE S&P MID-CAP ETF 48290 48290 MFB NORTHERN FDS GLOBAL REAL ESTATE INDEX FD AT COST 55792 55792 LEGAL FEES 510 255 0 255 INTEREST RECEIVABLE 992 897 897 UNREALIZED LOSS 62588 DUES AND SUBSCRIPTIONS 19221 0 0 1950 POSTAGE 3749 0 0 3653 BANK CHARGES 5908 4282 0 1626 BOARD EXP AND OTHER ADMIN 4122 0 0 0 TRAINING AND SEMINARS 4601 0 0 0 SUPPLIES 5603 0 0 0 DENTAL SUPPLIES DONATION 229036 0 0 229036 ADMIN EXPENSES - ACCRUAL TO CASH 0 0 0 12486 TELEPHONE 859 0 0 0 VOLUNTEER 6879 0 0 6879 VENDOR COSTS 17146 0 0 17146 DUE TO DDAZ - PAYABLE 201 8002 OTHER PROFESSIONAL FEES 950 475 0 475 TAXES 2381 0 0 0