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Governance Register
US nonprofit · EIN 222514423 · South Burlington, VTiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 222514423) - 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 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. Not a statement that the organisation is recruiting.Licence US Federal Government public domain.How we handle data

Vermont State Dental Society's network

9 peoplei9 people on this map.The large node is the subject of this page. Solid lines are what the register itself records (9). Form 990 filings give names without a person identifier; SEC insider filings carry a CIK.

The board

9 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.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. The organisation reported 9 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Heidi KunkelPresident -Elect2024
2 yrs
Jeff Blasius DMDPresident (Start 2024)2022
4 yrs
Jeremy CloverDirector (Start 2024)2024
2 yrs
Jonathan Mason DMDDirector2022
4 yrs
Justin HurlburtTreasurer (Start 2024)2024
2 yrs
Linsay HerbertSecretary (Start 2024)2024
2 yrs
Loren Peck DDSLong Term Delegate2018
8 yrs
Michael Gibilisco (also filed as Mike Gibilisco)Vice President (Start 2024)2023
3 yrs
Reimy Evangelista De LeonDirector (Start 2024)2024
2 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

2 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Patrick GallivanExecutive Director (Start 04/2020)since 2020
Vaughn T CollinsExecutive Director (Until 04/2020)since 2018

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
Patrick GallivanExecutive Director40$145k$27k
Jeff Blasius DMDPresident (Start 2024)5$0
Heidi KunkelPresident -Elect5$0
Michael GibiliscoVice President (Start 2024)5$0
Justin HurlburtTreasurer (Start 2024)5$0
Linsay HerbertSecretary (Start 2024)5$0
Jonathan Mason DMDDirector5$0
Loren Peck DDSLong Term Delegate5$0
Jeremy CloverDirector (Start 2024)5$0
Reimy Evangelista de LeonDirector (Start 2024)5$0

About

Legal name
Vermont State Dental Society
EIN
222514423
Address
1 Kennedy Drive Suite L-3, South Burlington, VT, 05403-7165
State
Vermont
Mission
The vermont state dental society works to improve the oral health of vermonters and to serve the profession of dentistry. (as filed on the Form 990)
Activity (NTEE)
E037 Health care
IRS classification
501(c)06 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
5 (IRS master file code)
Formed
1983
Principal officer
Justin Hurlburt (as named on the Form 990)
IRS ruling date
1 April 2015
Status
Code 01 (unconditional exemption)
Form 990 filings on record
7, latest 2024

Most connected

Longest observed on the filings

≥8years on the filingsLoren Peck DDS
≥4years on the filingsJeff Blasius DMD
≥4years on the filingsJonathan Mason DMD
≥3years on the filingsMichael Gibilisco

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
$675k
Total liabilities
$164k
Net assets or fund balances
$510k
Contributions and grants received
$166k
Program service revenue
$395k
Employees
3
Volunteers
9

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$609k$682kDeficit $73k

As filed on the IRS Form 990. US dollars.