Civic Intelligence

Fayette Ambulance Service Inc.

EIN 46-2660249 • 501(c)3 • Fayette, IA

Pub. 78 Eligible990-N CoverageNTEE M122

Profile

AMBULANCE SERVICES

PO Box 626Fayette, IA 52142
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Balance Sheet

Assets

$399,868

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Net Assets

$399,868

No earlier filing loaded for comparison.

Operations

Revenue

$357,101

No earlier filing loaded for comparison.

Expenses

$575

No earlier filing loaded for comparison.

Net Income

$356,526

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

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

$400K$300K$200K$100K$0Assets 2023: $399,868Liabilities 2023: $0Net Assets 2023: $399,8682023

Highlighted filing

2023

Assets$399,868
Liabilities$0
Net Assets$399,868
Open 2023 Filing

Operations Trend

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

$400K$300K$200K$100K$0Revenue 2023: $357,101Expenses 2023: $575Net Income 2023: $356,5262023

Highlighted filing

2023

Revenue$357,101
Expenses$575
Net Income$356,526
Open 2023 Filing

Filings

Most recent year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$399,868
Liabilities
$0
Net assets
$399,868
Revenue
$357,101
Expenses
$575
Net income
$356,526
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$4.00$0.00$4.00$3.57$0.01$3.57
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Apr 26, 2024
Return Version
2023v5.0
Gross Receipts
$362,422
Mission and Program Overview

Mission

AMBULANCE SERVICES

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$43,342$399,868▲ $356,526
Investments Other Securities-$370,000-
Savings and Temporary Cash Investments$43,342$29,868▼ $13,474
Total Assets$43,342$399,868▲ $356,526
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$43,342$399,868▲ $356,526
Total Liabilities and Net Assets / Fund Balance$43,342$399,868▲ $356,526

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$370,000--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Richard HofmeyerPresident
Lisa RobertsSecy Treas
Scott LuchsingerVP
Revenue and Support

Revenue Composition

Contributions and Grants
$362,355
Program Service Revenue
$0
Investment Income
$67
Other Revenue
$-5,321
Change in Net Assets
$356,526
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$575
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$375-$375
Other Expenses-$200-$200
Total Functional Expenses$0$575$0$575
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$5,321
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

“MEMBERS”

Member election for additional members Part VI line 7A

“MEMBERS”

Form 990 governing body review Part VI line 11

“All members will review the 990 before it is filed.”

Officer director etc mailing address Part VI line 9

“Lisa roberts, 11710 g ave., fayette, ia 52142;scott luchsinger, po box 694, fayette, ia 52142.”

Governing documents etc available to public Part VI line 19

“Not asked in past year, but will make them available upon request.”

Filing and Contact Details

Filer

Filer Name
Fayette Ambulance Service Inc
EIN
46-2660249
Address
PO BOX 626, FAYETTE, IA 52142

Signing Officer

Name
Richard Hofmeyer
Title
President
Phone
5634254044
Signed
2024-04-26
Discuss with paid preparer
No

Organization Details

Principal Officer
Richard Hofmeyer
Formed
2012
Legal Domicile
Ia
Voting Board Members
29
Independent Board Members
29
Employees
0

Preparer

Firm
HOFMEYER and HANSON PC
Address
231 S MAIN BOX 126, FAYETTE, IA 52142
Preparer
John W Hofmeyer Iii
Phone
5634253397
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