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Governance Register
US nonprofit · EIN 146038729 · Clifton Park, NYiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 146038729) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2025: assets, liabilities, staff, website, telephone, pay.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Fourth District Dental Society's network

10 people2 organisationsi10 people and 2 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (10). Violet dotted lines (2) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

10 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record.
NameRole as filedSinceOn the board
Christian MathiesenDirector2023
3 yrs
Christina CocozzoPresident2022
4 yrs
Edmund WUNCompany secretary2023
3 yrs
Jennifer KluthVice President2022
4 yrs
John MilzaPresident-Elect2022
4 yrs
Jonathan M SchutzDirector2023
3 yrs
Loren BaimDirector2021
5 yrs
Michael Breault (also filed as Mike Breault)Director2021
5 yrs
Rachel HargravesTreasurer2021
5 yrs
Wayne HarrisonDirector2021
5 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

9 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Dr Christina CocozzoCompany secretary2020
Dr H John SchutzeTreasurersince 2018
Dr Jacob D MerrymanPresidentsince 2018
Dr Laura JohnstoneVice Presidentsince 2018
Dr Maybelle HwangPresident-Electsince 2018
Dr Richard J HoskinsonImmediate Past President2018
Dr Robert BerlsVice Presidentsince 2019
Lisa HicksExecutive Directorsince 2022
Ms Lynn M MartinExecutive Directorsince 2018

Pay and hours

year to 31 December 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Lisa HicksExecutive Director40$68k
Adrienne KorkoszDirector0$0
Frederick WetzelDirector0$0
Crystal Arpei-McHughDirector0$0
Christina CocozzoDirector0$0
John MilzaDirector0$0
Katherine GuilfoyleSecretary0$0
Jennifer KluthPresident0$0
Claire KiehlVice President0$0
Rachel HargravesTreasurer0$0
Edmund WunPresident-Elect0$0

About

Legal name
Fourth District Dental Society
EIN
146038729
Address
632 Plank Rd Ste 200, Clifton Park, NY, 12065-4883
State
New York
Mission
The mission of the fourth district dental society shall be to encourage the improvement of the health of the public, to promote the art and science of dentistry, and to represent the interest of the members of profession and the public which it serves. (as filed on the Form 990)
Activity (NTEE)
E34Z Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
4 (IRS master file code)
Formed
1984
Principal officer
Dr Jennifer Kluth (as named on the Form 990)
IRS ruling date
1 March 1967
Status
Code 01 (unconditional exemption)
Form 990 filings on record
6, latest 2023
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥5years on the filingsLoren Baim
≥5years on the filingsMichael Breault
≥5years on the filingsRachel Hargraves
≥5years on the filingsWayne Harrison

Latest return

year to 31 December 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2025. US dollars, as filed.
Total assets
$298k
Total liabilities
$0
Net assets or fund balances
$298k
Contributions and grants received
$53k
Program service revenue
$145k
Employees
1