Civic Intelligence

Shelby County Ambulance Commission

EIN 42-1259076 • 501(c)4 • Harlan, IA

Profile

AMBULANCE COMMISSION

1213 Garfield AvenueHarlan, IA 51537

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2025

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • <$500k nonprofits • Source year 2025

Net Margin

11th percentile

-60%

Higher net margin than 11% of similar nonprofits.

501(c)4 • <$500k nonprofits • Source year 2025

Top Officer Pay

89th percentile

$0

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)4 • <$500k nonprofits • Source year 2025

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2024 to 2025

Revenue Growth

14th percentile

-60%

Faster revenue growth than 14% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $142,984 (-100%) from 2024

Liabilities

Flat

$0

Flat from 2024

Net Assets

Down

$0

Down $142,984 (-100%) from 2024

Operations
Liabilities / Revenue61st percentileNet Margin11th percentile

Revenue

Down

$237,282

Down $355,714 (-60%) from 2024

Expenses

Down

$380,266

Down $310,301 (-45%) from 2024

Net Income

Down

-$142,984

Down $45,413 (-47%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2011: $82,230Net Assets 2011: $82,2302011Assets 2012: $89,217Net Assets 2012: $89,2172012Assets 2013: $131,939Net Assets 2013: $131,9392013Assets 2014: $147,613Net Assets 2014: $147,6132014Assets 2015: $138,081Net Assets 2015: $138,0812015Assets 2016: $166,771Net Assets 2016: $166,7712016Assets 2017: $200,142Net Assets 2017: $200,1422017Assets 2018: $248,375Net Assets 2018: $248,3752018Assets 2019: $257,423Net Assets 2019: $257,4232019Assets 2020: $263,418Net Assets 2020: $263,4182020Assets 2021: $297,700Net Assets 2021: $297,7002021Assets 2022: $392,957Liabilities 2022: $0Net Assets 2022: $392,9572022Assets 2023: $240,555Liabilities 2023: $0Net Assets 2023: $240,5552023Assets 2024: $142,984Liabilities 2024: $0Net Assets 2024: $142,9842024Assets 2025: $0Liabilities 2025: $0Net Assets 2025: $02025

Highlighted filing

2025

Assets$0
Liabilities$0
Net Assets$0
Open 2025 Filing

Operations Trend

Revenue Growth14th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2011: $98,538Expenses 2011: $101,641Net Income 2011: -$3,1032011Revenue 2012: $99,553Expenses 2012: $92,566Net Income 2012: $6,9872012Revenue 2013: $133,655Expenses 2013: $90,933Net Income 2013: $42,7222013Revenue 2014: $123,006Expenses 2014: $107,332Net Income 2014: $15,6742014Revenue 2015: $109,318Expenses 2015: $118,850Net Income 2015: -$9,5322015Revenue 2016: $141,062Expenses 2016: $112,372Net Income 2016: $28,6902016Revenue 2017: $141,097Expenses 2017: $107,726Net Income 2017: $33,3712017Revenue 2018: $167,695Expenses 2018: $119,462Net Income 2018: $48,2332018Revenue 2019: $177,519Expenses 2019: $168,471Net Income 2019: $9,0482019Revenue 2020: $168,379Expenses 2020: $162,384Net Income 2020: $5,9952020Revenue 2021: $163,658Expenses 2021: $129,376Net Income 2021: $34,2822021Revenue 2022: $259,912Expenses 2022: $164,647Net Income 2022: $95,2652022Revenue 2023: $206,473Expenses 2023: $358,875Net Income 2023: -$152,4022023Revenue 2024: $592,996Expenses 2024: $690,567Net Income 2024: -$97,5712024Revenue 2025: $237,282Expenses 2025: $380,266Net Income 2025: -$142,9842025

Highlighted filing

2025

Revenue$237,282
Expenses$380,266
Net Income-$142,984
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$237,282
Expenses
$380,266
Net income
-$142,984
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$2.37$3.80$1.43
2024Detailed filing. Detailed filing data is available for this year.$1.43$0.00$1.43$5.93$6.91$0.98
2023Detailed filing. Detailed filing data is available for this year.$2.41$0.00$2.41$2.06$3.59$1.52
2022Detailed filing. Detailed filing data is available for this year.$3.93$0.00$3.93$2.60$1.65$0.95
2021Detailed filing. Detailed filing data is available for this year.$2.98$2.98$1.64$1.29$0.34
2020Detailed filing. Detailed filing data is available for this year.$2.63$2.63$1.68$1.62$0.06
2019Detailed filing. Detailed filing data is available for this year.$2.57$2.57$1.78$1.68$0.09
2018Detailed filing. Detailed filing data is available for this year.$2.48$2.48$1.68$1.19$0.48
2017Detailed filing. Detailed filing data is available for this year.$2.00$2.00$1.41$1.08$0.33
2016Detailed filing. Detailed filing data is available for this year.$1.67$1.67$1.41$1.12$0.29
2015Detailed filing. Detailed filing data is available for this year.$1.38$1.38$1.09$1.19$0.10
2014Detailed filing. Detailed filing data is available for this year.$1.48$1.48$1.23$1.07$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.32$1.32$1.34$0.91$0.43
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.89$0.89$1.00$0.93$0.07
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.82$0.82$0.99$1.02$0.03
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jul 18, 2025
Return Version
2024v5.0
Gross Receipts
$237,282
Mission and Program Overview

Mission

MEDICAL SERVICES

AMBULANCE COMMISSION

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$142,984--
Land, Buildings, and Equipment, Net$133,637--
Cash and Non-Interest-Bearing Accounts$9,347--
Total Assets$142,984$0▼ $142,984
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$142,984$0▼ $142,984
Total Liabilities and Net Assets / Fund Balance$142,984$0▼ $142,984
Compensation and Service Providers
Top Officer Pay89th percentile

Board Members and Trustees

NameTitle
Dr Scott MarkhamDirector
Gene GettysDirector
Jay ChristensenDirector
Jeanine LarsenDirector
Barry JacobsenOfficer
Revenue and Support

Revenue Composition

Contributions and Grants
$237,262
Program Service Revenue
$0
Investment Income
$20
Other Revenue
$0
All Other Contributions
$237,262
Change in Net Assets
$-142,984
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$239,118
Other Expenses$141,148
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$239,118--$239,118
Other Expenses$84,299--$84,299
Depreciation Depletion$49,338--$49,338
Fees for Services Accounting$5,830--$5,830
Insurance$1,664--$1,664
Fees for Services Other$17--$17
Total Functional Expenses$380,266$0$0$380,266
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
MedivacHarlan, IA-Ambulance Services$239,118
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“No review was or will be conducted.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Shelby County Ambulance Commission
EIN
42-1259076
Address
1213 GARFIELD AVENUE, HARLAN, IA 51537

Signing Officer

Name
Barry Jacobsen
Title
Officer
Phone
7125799029
Signed
2025-07-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Barry Jacobsen
Formed
1960
Legal Domicile
Ia
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
4

Preparer

Firm
Broeckelman & Associates Pc
Address
1301 HAWKEYE AVE, HARLAN, IA 51537
Preparer
Monte Broeckelman
Phone
7127553366
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

“AMBULANCE SERVICE”

Raw XML Appendix288 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.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd0false
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IRS990/BackupWthldComplianceInd0false
IRS990/BooksInCareOfDetail/PersonNm0BARRY JACOBSEN
IRS990/BooksInCareOfDetail/PhoneNum07127555131
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0LOCAL
IRS990/BooksInCareOfDetail/USAddress/CityNm0HARLAN
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd051537
IRS990/BusinessRlnWith35CtrlEntInd0false
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IRS990/CashNonInterestBearingGrp/BOYAmt09347
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IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0237262
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IRS990/CYInvestmentIncomeAmt020
IRS990/CYOtherExpensesAmt0141148
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0-142984
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0380266
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0237282
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt049338
IRS990/DepreciationDepletionGrp/TotalAmt049338
IRS990/Desc0AMBULANCE SERVICE
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
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IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt00
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IRS990/ExpenseAmt0330911
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IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt05830
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IRS990/FeesForServicesOtherGrp/ProgramServicesAmt017
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IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
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IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0JAY CHRISTENSEN
IRS990/Form990PartVIISectionAGrp/PersonNm1GENE GETTYS
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IRS990/Form990PartVIISectionAGrp/PersonNm3DR SCOTT MARKHAM
IRS990/Form990PartVIISectionAGrp/PersonNm4BARRY JACOBSEN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4OFFICER
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr01960
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantAmt0239118
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt0239118
IRS990/GrantsToDomesticOrgsGrp/TotalAmt0239118
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0true
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0237282
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt05
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt01664
IRS990/InsuranceGrp/TotalAmt01664
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt020
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt020
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0133637
IRS990/LegalDomicileStateCd0IA
IRS990/LoanOutstandingInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0AMBULANCE COMMISSION
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0142984
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherExpensesGrp/Desc0DIST TO LOCAL GOVT ENTITY
IRS990/OtherExpensesGrp/ProgramServicesAmt084299
IRS990/OtherExpensesGrp/TotalAmt084299
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0BARRY JACOBSEN
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActyOtherGrp/Desc0AMBULANCE SERVICE
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt049355
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0592959
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0627266
IRS990/PYInvestmentIncomeAmt037
IRS990/PYOtherExpensesAmt063301
IRS990/PYRevenuesLessExpensesAmt0-97571
IRS990/PYTotalExpensesAmt0690567
IRS990/PYTotalRevenueAmt0592996
IRS990/ReconcilationRevenueExpnssAmt0-142984
IRS990/RegularMonitoringEnfrcInd0false
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0237262
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0142984
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
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IRS990ScheduleC/OnlyInHouseLobbyingInd0false
IRS990ScheduleC/SubstantiallyAllDuesNondedInd0false
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IRS990ScheduleI/RecipientTable/CashGrantAmt0239118
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IRS990ScheduleI/RecipientTable/RecipientEIN0421125457
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02025-06-30
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IRS990ScheduleN/RequiredToNotifyAGInd0false
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AMBULANCE SERVICE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4D
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TotalLiabilitiesGrp/EOYAmt00
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IRS990/TotalVolunteersCnt04
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IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
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ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum07125799029
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-18
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SHELBY COUNTY AMBULANCE COMMISSION
ReturnHeader/Filer/BusinessNameControlTxt0SHEL
ReturnHeader/Filer/EIN0421259076
ReturnHeader/Filer/USAddress/AddressLine1Txt01213 GARFIELD AVENUE
ReturnHeader/Filer/USAddress/CityNm0HARLAN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd051537
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0false
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0823177662
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0BROECKELMAN & ASSOCIATES PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01301 HAWKEYE AVE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0HARLAN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd051537
ReturnHeader/PreparerPersonGrp/PhoneNum07127553366
ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-18
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MONTE BROECKELMAN
ReturnHeader/ReturnTs02025-07-22T15:45:53-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-07-01
ReturnHeader/TaxPeriodEndDt02025-06-30
ReturnHeader/TaxYr02024

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