2024-05-14T08:32:39-05:00 2023-12-31 061438606 ZACKIN ZIMYESKI SULLIVAN CPA LLC ONE EXCHANGE PLACE WATERBURY CT 06702 990 2023-01-01 061237197 SOUTHBURY AMBULANCE ASSOCIATION INC SOUT 2032628082 68 GEORGES HILL ROAD SOUTHBURY CT 06488 GERALYN HOYT PRESIDENT 2032628082 2024-05-13 1 GERALYN HOYT 999009999 1 CARRIE ZIMYESKI P00369050 2037532200 2024-05-10 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z GERALYN HOYT 68 GEORGES HILL ROAD SOUTHBURY CT 06488 1476244 0 X WWW.SOUTHBURYAMBULANCE.ORG X 1976 CT THE SOUTHBURY AMBULANCE ASSOCIATION, INC. PROVIDES AMBULANCE SERVICE TO THE TOWN OF SOUTHBURY, CONNECTICUT. THE ORGANIZATION IS FUNDED BY COMMUNITY DONATIONS, REIMBURSEMENTS FROM INSURANCE COMPANIES AND INVESTMENT INCOME. 5 5 3 31 0 0 60003 94781 1221478 1378078 -292 2056 1960 1329 1283149 1476244 0 0 0 0 40484 42079 0 0 5401 1312180 1616849 1352664 1658928 -69515 -182684 1970723 1748147 201252 161360 1769471 1586787 THE SOUTHBURY AMBULANCE ASSOCIATION, INC. PROVIDES AMBULANCE SERVICE TO THE TOWN OF SOUTHBURY, CONNECTICUT. THE ORGANIZATION IS FUNDED BY COMMUNITY DONATIONS, GRANTS, REIMBURSEMENTS FROM INSURANCE COMPANIES AND INVESTMENT INCOME. 0 0 1561330 1379407 TO PROVIDE AMBULANCE SERVICES AND MEDICAL SUPPORT 1561330 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 3 0 0 0 0 0 0 0 0 0 0 0 X 5 5 1 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CT X SOUTHBURY AMBULANCE AMBULANCE ASSOCIATION 2032628082 68 GEORGES HILL ROAD SOUTHBURY CT 06488 BURTON CIEPLY VICE PRESIDENT 25.00 X 2100 0 0 GERALYN HOYT PRESIDENT 35.00 X 2000 0 0 SUZANNE VETTER PERSONNEL 35.00 X 2000 0 0 MEGAN POSEY EDUCATION 25.00 X 2000 0 0 LINDA BAKER TREAS/SECT 35.00 X 2000 0 0 10100 0 0 0 0 0 0 0 26500 68281 94781 AMBULANCE SERVICE INCO 621910 1378078 1378078 1378078 2056 2056 MISCELLANEOUS INCOME 459510 1329 1329 1329 1476244 1379407 0 2056 X 38433 38433 3646 3646 1878 1878 8970 8970 1103326 1102333 993 5442 41 5401 14013 14013 13736 10306 3430 620 437 183 6862 5490 1372 108959 100242 8717 39820 30851 8969 BILLING SERVICES 100583 100583 AMBULANCE MAINTENANCE 88866 88866 MEDICAL SUPPLIES 80414 80414 UTILITIES 20008 16578 3430 23352 23352 1658928 1561330 92197 5401 496462 359465 2626937 1354977 1357784 1271960 116477 116722 1970723 1748147 199938 159995 1314 1365 201252 161360 X 1769471 1586787 1769471 1586787 1970723 1748147 -182684 0 X X 0 1 X 1 0 X 49987 195380 136155 60003 94781 536306 1186648 1077385 1099237 1220725 1378078 5962073 1236635 1272765 1235392 1280728 1472859 6498379 0 0 0 6498379 2019 905 554 461 2056 5995 2019 905 554 461 2056 5995 2079 190 725 1960 1329 6283 1240733 1273860 1236671 1283149 1476244 6510657 0.99810 0.99570 0.00090 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 1884. 2020 AMOUNT: $ 190. 2021 AMOUNT: $ 725. 2022 AMOUNT: $ 1960. 2023 AMOUNT: $ 1329. EDUCATIONAL PROGRAM EXPENSES - 2019 AMOUNT: $ 195. VOLUNTEER REIMBURSEMENTS - RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 261666 261666 1247016 516676 730340 1118255 838301 279954 1271960 INVESTMENTS-OTH SECS(DETAIL)-990 116722 F 116722 PAYROLL LIABILITIES 1365 1365 1476244 0 1476244 0 1476244 1658928 0 1658928 0 1658928 FORM 990, PART VI, SECTION A, LINE 2 - SUZANNE VETTER (OFFICER) AND LINDA BAKER (TREASURER/SECRETARY) ARE SISTERS. FORM 990, PART VI, SECTION A, LINE 7A ACTIVE VOLUNTEERS ANNUALLY ELECT THE EXECUTIVE BOARD BASED ON A MAJORITY VOTE FORM 990, PART VI, SECTION B, LINE 11B ON BEHALF OF THE GOVERNING BODY, THE TREASURER OR PRESIDENT REVIEWS THE TAX RETURN BEFORE SIGNING AND MAILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY AN OFFICER IS ASSIGNED TO MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AND TO INITIATE ANY REVIEW OR ENFORCEMENT NECESSARY FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY REVIEWED AND APPROVED BY BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G STAFFING: PROGRAM SERVICE EXPENSES 1102333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1102333. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 993. THE ORGANIZATION UTILIZES THE MODIFIED CASH BASIS OF ACCOUNTING TO RECORD ITS TRANSACTIONS. FORM 990, PART XII, LINE 2C: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AUDITOR.