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        <CurrentTaxYearMinus4YearsAmt>1348</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>30790</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>32138</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>1638958</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1694296</CurrentTaxYearAmt>
        <TotalAmt>7887227</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>1562565</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1535038</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1638958</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1694296</CurrentTaxYearAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5250</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2537</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1298</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1264</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1468</CurrentTaxYearAmt>
        <TotalAmt>11817</TotalAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>28544</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32394</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45453</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>292639</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1252434</CurrentTaxYearAmt>
        <TotalAmt>1651464</TotalAmt>
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      <PublicSupportCY170Pct>0.82640</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.94670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>3492952</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2763541</DepreciationAmt>
        <BookValueAmt>729411</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>729411</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2948198</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2948198</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2948198</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2162053</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2162053</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2162053</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE ORGANIZATION'S POLICY TO PROVIDE FOR UNCERTAIN TAX POSITIONS AND ANY RELATED INTEREST OR PENALTIES BASED ON MANAGEMENT'S ASSESSMENT OF WHETHER A TAX BENEFIT IS MORE LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. SINCE THE ORGANIZATION CONSIDERS ALL ITS ACTIVITIES SUBSTANTIALLY RELATED TO ITS EXEMPT PURPOSES NO PROVISION HAS BEEN MADE FOR INCOME TAXES, INTEREST ON TAX ASSESSMENTS OR INCOME TAX PENALTIES IN THESE FINANCIAL STATEMENTS. FOR THE YEAR ENDED DECEMBER 31, 2021, THE ORGANIZATION DETERMINED NO INCOME TAX DUE FOR ITS ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - SECTION B - AMENDED RETURN</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMENDED RETURN INCLUDES CHANGES TO THE PROGRAM SERVICE REVENUE, FUNCTIONAL EXPENSES, PROGRAM ALLOCATIONS, BALANCE SHEET &amp; SCHEDULE D AS NOTED BELOW: 1) PAGE 2: PART III: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: EXPENSES: ORIGINAL: $2248436: AMENDED: $2038687; REVENUE: ORIGINAL: $2943857: AMENDED: $2948198 2) PAGE 9: PART VIII: CHANGES IN REVENUE: PROGRAM SERVICE REVENUE: MVA BILLING AND OTHER RELATED INCOME: ORIGINAL: $1248093 AMENDED: $1252434 3) PAGE 10: PART IX: FUNCTIONAL EXPENSES: FEE &amp; SERVICES: ACCOUNTING: MANAGEMENT AND GENERAL EXPENSES: ORIGINAL: $10750: AMENDED: $15750; FUNCTIONAL EXPENSES: PROGRAM SERVICE EXPENSES: DEPRECIATION: ORIGINAL: $230793: AMENDED: $267178; FUNCTIONAL EXPENSES: OTHER EXPENSES: PROGRAM SERVICE EXPENSES: TRAINING AND DEVELOPMENT: ORIGINAL: $120806: AMENDED: $141118; MEDICAL SUPPLIES AND EQUIPMENTS: ORIGINAL: $341500: AMENDED: $224860; VEHICLE REPAIRS AND MAINTENANCE: ORIGINAL: $282303: AMENDED: $132497; POSTAGE: ORIGINAL: FUNDRAISING: $1091: AMENDED: MANAGEMENT AND GENERAL EXPENSES: $1091 4) BALANCE SHEET: ASSETS: PLEDGES AND GRANTS RECEIVABLE: ORIGINAL: $80648 AMENDED: $143309; LAND, BUILDINGS AND EQUIPMENT: ORIGINAL: $3305139: AMENDED: $3492952: ACCUMULATED DEPRECIATION: ORIGINAL: $2727156: AMENDED: $2763541; BALANCE SHEET: LIABILITIES: ACCOUNTS PAYABLE AND ACCRUED EXPENSES: ORIGINAL: $26816: AMENDED: $31816; NET ASSETS WITHOUT DONOR RESTRICTIONS: ORIGINAL: $2499999: AMENDED: $2709089; 5) SCHEDULE A: PAGE2: SECTIONB; TOTAL SUPPORT: OTHER INCOME: ORIGINAL: $1248093: AMENDED: $1252434 6) SCHEDULE D: PAGE2: PART VI: LAND BUILDINGS AND EQUIPMENT: OTHER: ORIGINAL: $3305139: AMENDED: $3492952; ACCUMULATED DEPRECIATION: ORIGINAL: $2727156: AMENDED: $2763541: 7) SCHEDULE D: PAGE4: PARTXI: RECONCILIATION OF REVENUE: ORIGINAL: $2943857: AMENDED: $2948198; RECONCILIATION OF EXPENSES: ORIGINAL: $2366802: AMENDED: $2162053</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES AND ELIZABETH KOKINDO ARE MARRIED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONTROLLER RECEIVES A DRAFT COPY OF THE FORM 990, WHICH IS THEN PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A REGULAR REVIEW IS CONDUCTED TO ENSURE THAT THERE ARE NO CONFLICTS OF INTEREST. EXECUTED DOCUMENTS ARE COLLECTED AND MAINTAINED THAT REQUIRE ALL BOARD MEMBERS TO STATE THAT THERE IS NO CONFLICT OF INTEREST BETWEEN THEMSELVES AND MASTIC BEACH AMBULANCE COMPANY, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION TO THE PUBLIC REGARDING GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>