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Governance Register
US nonprofit · EIN 202396440 · San Jose, CAiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 202396440) - 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 tenure.Latest return IRS Form 990 series e-file data - 990EZ for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Principal officer IRS Form 990-N (e-Postcard) - principal officer named for tax year 2021.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Santa Clara County Dental Foundation's network

3 peoplei3 people on this map.The large node is the subject of this page. Solid lines are what the register itself records (3). Form 990 filings give names without a person identifier; SEC insider filings carry a CIK.

The board

3 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.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record.
NameRole as filedSinceOn the board
John Pisacane DMDPresident2022
4 yrs
Kenneth Wallis DDS (also filed as Ken Wallis DDS)Vice President2024
2 yrs
Mike Forst CDTSecretary/Treasurer2024
2 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

1 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Shadi KanaanExecutive Director2024

Pay and hours

year to 31 December 2024iFrom 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
John Pisacane DMDPresident5$0
Kenneth Wallis DDSVice President5$0
Mike Forst CDTSecretary/Treasurer5$0
Shadi KanaanExecutive Director3$0
Stephen Beveridge DDSMember at large3$0
Erin Beveridge DDSMember at large3$0
Steven Cohen DDSMember at large3$0
Lotus Mahon DDSMember at large3$0
Baokhanh Nguyen DDS MSDMember at large3$0
Daniel WebsterMember at large3$0
Bexter Yang DDS MSMember at large3$0
Anne Murray DDSMember at large3$0

No pay was reported for anyone in Part VII on this return.

About

Legal name
Santa Clara County Dental Foundation
EIN
202396440
Address
1485 Park Ave, San Jose, CA, 95126-2597
State
California
Activity (NTEE)
B82 Education
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Education
Size band
3 (IRS master file code)
IRS ruling date
1 October 2005
Status
Code 01 (unconditional exemption)
Form 990 filings on record
3, latest 2024
IRS Publication 78
PC (contributions deductible)
Principal officer
Candace Roney (Form 990-N, tax year 2021)

Most connected

Longest observed on the filings

≥4years on the filingsJohn Pisacane DMD
≥2years on the filingsKenneth Wallis DDS
≥2years on the filingsMike Forst CDT

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$86k
Total liabilities
$1k
Net assets or fund balances
$84k

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$17k$21kDeficit $4k

As filed on the IRS Form 990. US dollars.