Siviq Scores
Scores are not available for this record yet.
Balance Sheet
Assets
Flat$174,211
Flat from 2012
Net Assets
Flat$172,717
Flat from 2012
Liabilities
Flat$1,494
Flat from 2012
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$159,730
Flat from 2012
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2012 to Dec 31, 2012
- Signed
- Aug 7, 2013
- Return Version
- 2012v2.1
- Gross Receipts
- $135,545
Mission and Program Overview
Mission
The purpose of this organization is to provide ambulance service to the area citizens.
Filing and Contact Details
Filer
- EIN
- 41-1265978
Raw XML Appendix303 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/ActivityOrMissionDescription | 0 | THE PURPOSE OF THIS ORGANIZATION IS TO PROVIDE AMBULANCE SERVICE TO THE AREA CITIZENS. |
| IRS990/AddressChange | 0 | X |
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| IRS990/AddressPrincipalOfficerUS/City | 0 | DORCHESTER |
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| IRS990/AllOtherExpenses/Total | 0 | 12762 |
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| IRS990/Description | 0 | PROVIDED AMBULANCE SERVICE OF 148 RUNS IN 2012. |
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| IRS990/ForeignActivities | 0 | false |
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| IRS990/Form990PartVIISectionA/NamePerson | 4 | DONALD STRAKA |
| IRS990/Form990PartVIISectionA/NamePerson | 5 | JAMES SOLUM |
| IRS990/Form990PartVIISectionA/NamePerson | 6 | KAREN FOLSTAD |
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| IRS990/Form990PartVIISectionA/Officer | 2 | X |
| IRS990/Form990PartVIISectionA/Officer | 3 | X |
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| IRS990/Form990PartVIISectionA/Title | 2 | BOARD MEMBER |
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| IRS990/Form990PartVIISectionA/Title | 4 | PRESIDENT |
| IRS990/Form990PartVIISectionA/Title | 5 | VICE PRESIDE |
| IRS990/Form990PartVIISectionA/Title | 6 | SECRETARY |
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| IRS990/FormersListed | 0 | false |
| IRS990/FSAudited | 0 | false |
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| IRS990/FundraisingDirectExpenses | 0 | 551 |
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| IRS990/Gaming | 0 | false |
| IRS990/GrantsAndSimilarAmntsCY | 0 | 0 |
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| IRS990/GrantsToOrganizations | 0 | false |
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| IRS990/GroupReturnForAffiliates | 0 | false |
| IRS990/Hospital | 0 | false |
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| IRS990/IndoorTanningServices | 0 | false |
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| IRS990/Insurance/Total | 0 | 11838 |
| IRS990/InvestmentIncomeCurrentYear | 0 | 38623 |
| IRS990/InvestmentIncomePriorYear | 0 | 3056 |
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| IRS990/InvestmentIncome/TotalRevenueColumn | 0 | 1123 |
| IRS990/InvestmentInJointVenture | 0 | false |
| IRS990/LandBldgEquipmentAccumDeprec | 0 | 88803 |
| IRS990/LandBuildingsEquipmentBasis | 0 | 158807 |
| IRS990/LandBuildingsEquipmentBasisNet/BOY | 0 | 115369 |
| IRS990/LandBuildingsEquipmentBasisNet/EOY | 0 | 70004 |
| IRS990/LoanToOfficerOrDQP | 0 | false |
| IRS990/LocalChapters | 0 | false |
| IRS990/MaterialDiversionOrMisuse | 0 | false |
| IRS990/MembersOrStockholders | 0 | false |
| IRS990/MethodOfAccountingCash | 0 | X |
| IRS990/MinutesOfCommittees | 0 | true |
| IRS990/MinutesOfGoverningBody | 0 | true |
| IRS990/MissionDescription | 0 | THE PURPOSE OF THIS ORGANIZATION IS TO PROVIDE AMBULANCE SERVICE TO THE AREA CITIZENS. |
| IRS990/MoreThan5000KToIndividuals | 0 | false |
| IRS990/MoreThan5000KToOrganizations | 0 | false |
| IRS990/NameOfPrincipalOfficerPerson | 0 | DONALD STRAKA |
| IRS990/NbrIndependentVotingMembers | 0 | 7 |
| IRS990/NbrVotingGoverningBodyMembers | 0 | 7 |
| IRS990/NbrVotingMembersGoverningBody | 0 | 7 |
| IRS990/NetAssetsOrFundBalancesBOY | 0 | 197453 |
| IRS990/NetAssetsOrFundBalancesEOY | 0 | 172717 |
| IRS990/NetGainOrLossInvestments/RelatedOrExemptFunctionIncome | 0 | 37500 |
| IRS990/NetGainOrLossInvestments/TotalRevenueColumn | 0 | 37500 |
| IRS990/NetIncomeFromFundraisingEvents/TotalRevenueColumn | 0 | 1063 |
| IRS990/NoListedPersonsCompensated | 0 | X |
| IRS990/NonDeductibleContributions | 0 | false |
| IRS990/NumberFormsTransmittedWith1096 | 0 | 0 |
| IRS990/NumberIndependentVotingMembers | 0 | 7 |
| IRS990/NumberOfEmployees | 0 | 12 |
| IRS990/NumberW2GIncluded | 0 | 0 |
| IRS990/OfficeExpenses/ProgramServices | 0 | 2881 |
| IRS990/OfficeExpenses/Total | 0 | 2881 |
| IRS990/OfficerEntityWithBsnssRltnshp | 0 | false |
| IRS990/OfficerMailingAddress | 0 | false |
| IRS990/Organization501c | 0 | X |
| IRS990/OtherExpensePriorYear | 0 | 49182 |
| IRS990/OtherExpensesCurrentYear | 0 | 103067 |
| IRS990/OtherExpenses/Description | 0 | ACCOUNT WRITE DOWNS |
| IRS990/OtherExpenses/Description | 1 | ALS REIMBURSEMENT |
| IRS990/OtherExpenses/Description | 2 | SUPPLIES |
| IRS990/OtherExpenses/Description | 3 | VEHICLE FUEL |
| IRS990/OtherExpenses/ProgramServices | 0 | 11695 |
| IRS990/OtherExpenses/ProgramServices | 1 | 7915 |
| IRS990/OtherExpenses/ProgramServices | 2 | 3844 |
| IRS990/OtherExpenses/ProgramServices | 3 | 3617 |
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| IRS990/OtherExpenses/Total | 1 | 7915 |
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| IRS990/OtherExpenses/Total | 3 | 3617 |
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| IRS990/PartialLiquidation | 0 | false |
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| IRS990/PayrollTaxes/Total | 0 | 4535 |
| IRS990/PoliticalActivities | 0 | false |
| IRS990/PriorExcessBenefitTransaction | 0 | false |
| IRS990/ProfessionalFundraising | 0 | false |
| IRS990/ProgramServiceRevenueCY | 0 | 94233 |
| IRS990/ProgramServiceRevenue/Description | 0 | AMBULANCE CALLS |
| IRS990/ProgramServiceRevenue/Description | 1 | VARIOUS LEVIES |
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| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 0 | 76176 |
| IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome | 1 | 18057 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 0 | 76176 |
| IRS990/ProgramServiceRevenue/TotalRevenueColumn | 1 | 18057 |
| IRS990/ProhibitedTaxShelterTrans | 0 | false |
| IRS990/ReconcilationRevenueExpenses | 0 | -24736 |
| IRS990/RegularMonitoringEnforcement | 0 | false |
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| IRS990/RelatedOrgControlledEntity | 0 | false |
| IRS990/ReportFin48Footnote | 0 | false |
| IRS990/ReportInvestOthSecurities | 0 | false |
| IRS990/ReportLandBldgEquip | 0 | true |
| IRS990/ReportOtherAssets | 0 | false |
| IRS990/ReportOtherLiabilities | 0 | false |
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| IRS990/RetainedEarningsEndowmentEtc/BOY | 0 | 197453 |
| IRS990/RetainedEarningsEndowmentEtc/EOY | 0 | 172717 |
| IRS990/RevenuesLessExpensesCY | 0 | -24736 |
| IRS990/RevenuesLessExpensesPriorYear | 0 | -2394 |
| IRS990/SalariesEtcCurrentYear | 0 | 56663 |
| IRS990/SalariesEtcPriorYear | 0 | 60739 |
| IRS990/SavingsAndTempCashInvestments/BOY | 0 | 50063 |
| IRS990/SavingsAndTempCashInvestments/EOY | 0 | 85855 |
| IRS990/ScheduleBRequired | 0 | false |
| IRS990ScheduleD/OtherLandBuildings/BookValue | 0 | 70004 |
| IRS990ScheduleD/OtherLandBuildings/Depreciation | 0 | 88803 |
| IRS990ScheduleD/OtherLandBuildings/OtherCostOrOtherBasis | 0 | 158807 |
| IRS990ScheduleD/TotalOfBookValueLandBuildings | 0 | 70004 |
| IRS990/ScheduleJRequired | 0 | false |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | DIRECTORS AND OFFICERS OF BOARD VOLUNTEER THEIR TIME. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | RETURN IS AVAILABLE FOR INSPECTION |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | UPON REQUEST THEY ARE AVAILABLE FOR INSPECTION |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | GOVERNING DOCUMENTS DISCLOSURE EXPLANATION |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 0 | FORM 990, PAGE 1, PART I, LINE 6 |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 1 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/GeneralExplanation/ReturnReference | 2 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990/ScheduleORequired | 0 | true |
| IRS990/School | 0 | false |
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| IRS990/SubjectToProxyTax | 0 | false |
| IRS990/TaxablePartyNotification | 0 | false |
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| IRS990/Terminated | 0 | false |
| IRS990/TermOrPermanentEndowments | 0 | false |
| IRS990/TheBooksAreInCareOf/AddressUS/AddressLine1 | 0 | 172 W MAIN STREET |
| IRS990/TheBooksAreInCareOf/AddressUS/City | 0 | SPRING GROVE |
| IRS990/TheBooksAreInCareOf/AddressUS/State | 0 | MN |
| IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode | 0 | 55974 |
| IRS990/TheBooksAreInCareOf/NamePerson | 0 | AMBULANCE OFFICE |
| IRS990/TheBooksAreInCareOf/TelephoneNumber | 0 | 5074983098 |
| IRS990/TotalAssets/BOY | 0 | 197453 |
| IRS990/TotalAssetsBOY | 0 | 197453 |
| IRS990/TotalAssets/EOY | 0 | 174211 |
| IRS990/TotalAssetsEOY | 0 | 174211 |
| IRS990/TotalCompGT150K | 0 | false |
| IRS990/TotalContributions | 0 | 1075 |
| IRS990/TotalExpensesCurrentYear | 0 | 159730 |
| IRS990/TotalExpensesPriorYear | 0 | 109921 |
| IRS990/TotalFunctionalExpenses/Fundraising | 0 | 0 |
| IRS990/TotalFunctionalExpenses/ManagementAndGeneral | 0 | 195 |
| IRS990/TotalFunctionalExpenses/ProgramServices | 0 | 159535 |
| IRS990/TotalFunctionalExpenses/Total | 0 | 159730 |
| IRS990/TotalFundrsngExpCurrentYear | 0 | 0 |
| IRS990/TotalGrossUBI | 0 | 0 |
| IRS990/TotalLiabilities/BOY | 0 | 0 |
| IRS990/TotalLiabilities/EOY | 0 | 1494 |
| IRS990/TotalLiabilitiesEOY | 0 | 1494 |
| IRS990/TotalLiabNetAssetsFundBalances/BOY | 0 | 197453 |
| IRS990/TotalLiabNetAssetsFundBalances/EOY | 0 | 174211 |
| IRS990/TotalNbrEmployees | 0 | 12 |
| IRS990/TotalNbrVolunteers | 0 | 7 |
| IRS990/TotalNetAssetsFundBalances/BOY | 0 | 197453 |
| IRS990/TotalNetAssetsFundBalances/EOY | 0 | 172717 |
| IRS990/TotalProfFundrsngExpCY | 0 | 0 |
| IRS990/TotalProgramServiceExpense | 0 | 159535 |
| IRS990/TotalProgramServiceRevenue | 0 | 94233 |
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| IRS990/TotalRevenue/RelatedOrExemptFunctionIncome | 0 | 132856 |
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| IRS990/TypeOfOrganizationCorporation | 0 | X |
| IRS990/UnrelatedBusinessIncome | 0 | false |
| IRS990/UponRequest | 0 | X |
| IRS990/WhistleblowerPolicy | 0 | true |
| ReturnHeader/BuildTS | 0 | 2016-02-24 21:20:13Z |
| ReturnHeader/Filer/EIN | 0 | 411265978 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | SPRING GROVE AMBULANCE SERVICE |
| ReturnHeader/Filer/NameControl | 0 | SPRI |
| ReturnHeader/Filer/Phone | 0 | 5074983098 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 172 W MAIN STREET |
| ReturnHeader/Filer/USAddress/AddressLine2 | 0 | ROOM/SUITE 101 |
| ReturnHeader/Filer/USAddress/City | 0 | SPRING GROVE |
| ReturnHeader/Filer/USAddress/State | 0 | MN |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 55974 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | true |
| ReturnHeader/Officer/DateSigned | 0 | 2013-08-07 |
| ReturnHeader/Officer/Name | 0 | HEATHER M GRAY |
| ReturnHeader/Officer/Phone | 0 | 5074983098 |
| ReturnHeader/Officer/Title | 0 | TREASURER |
| ReturnHeader/Preparer/DatePrepared | 0 | 2013-08-07 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | MORRISON & ASSOCIATES SC |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 330 6TH ST S |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | LA CROSSE |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | WI |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 546014587 |
| ReturnHeader/Preparer/Name | 0 | KENNETH K MORRISON |
| ReturnHeader/Preparer/Phone | 0 | 6087827293 |
| ReturnHeader/ReturnType | 0 | 990 |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2012-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2012-12-31 |
| ReturnHeader/TaxYear | 0 | 2012 |
| ReturnHeader/Timestamp | 0 | 2013-08-08T13:22:41-05:00 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $174,211
- Liabilities
- $1,494
- Net assets
- $172,717
- Revenue
- -
- Expenses
- $159,730
- Net income
- -