Civic Intelligence

New Leipzig Ambulance Service

990 • Fiscal year 2015 • EIN 51-0179928

Jan 01, 2015 to Dec 31, 2015 • Filed on Mar 30, 2016

PO Box 91New Leipzig, ND 58562

(701) 584-2570

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.00x

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Liabilities / Revenue

55th percentile

0.00x

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

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Net Margin

85th percentile

33%

Higher net margin than 85% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

76th percentile

$3,000

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2015 filings • 501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

77th percentile

29%

Faster asset growth than 77% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

82nd percentile

37%

Faster revenue growth than 82% of similar nonprofits.

2015 filings • 501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

$320,628

No earlier filing loaded for comparison.

Net Assets

$320,628

No earlier filing loaded for comparison.

Liabilities

$0

No earlier filing loaded for comparison.

Revenue

$215,506

No earlier filing loaded for comparison.

Expenses

$145,098

No earlier filing loaded for comparison.

Net Income

$70,408

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2015: $320,628Liabilities 2015: $0Net Assets 2015: $320,6282015Assets 2016: $349,067Liabilities 2016: $0Net Assets 2016: $349,0672016Assets 2017: $369,244Liabilities 2017: $0Net Assets 2017: $369,2442017Assets 2018: $436,013Liabilities 2018: $1,229Net Assets 2018: $434,7842018Assets 2019: $455,802Liabilities 2019: $41Net Assets 2019: $455,7612019Assets 2020: $465,859Liabilities 2020: $11Net Assets 2020: $465,8482020Assets 2021: $463,061Liabilities 2021: $11Net Assets 2021: $463,0502021Assets 2022: $506,591Liabilities 2022: $0Net Assets 2022: $506,5912022Assets 2023: $646,357Liabilities 2023: $0Net Assets 2023: $646,3572023Assets 2024: $674,200Liabilities 2024: $0Net Assets 2024: $674,2002024

Highlighted filing

2015

Assets$320,628
Liabilities$0
Net Assets$320,628

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2015: $215,506Expenses 2015: $145,098Net Income 2015: $70,4082015Revenue 2016: $132,213Expenses 2016: $103,774Net Income 2016: $28,4392016Revenue 2017: $121,321Expenses 2017: $104,227Net Income 2017: $17,0942017Revenue 2018: $180,655Expenses 2018: $114,856Net Income 2018: $65,7992018Revenue 2019: $178,046Expenses 2019: $157,069Net Income 2019: $20,9772019Revenue 2020: $176,656Expenses 2020: $166,569Net Income 2020: $10,0872020Revenue 2021: $211,937Expenses 2021: $214,735Net Income 2021: -$2,7982021Revenue 2022: $105,811Expenses 2022: $62,270Net Income 2022: $43,5412022Revenue 2023: $209,195Expenses 2023: $69,429Net Income 2023: $139,7662023Revenue 2024: $109,085Expenses 2024: $81,242Net Income 2024: $27,8432024

Highlighted filing

2015

Revenue$215,506
Expenses$145,098
Net Income$70,408
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Mar 30, 2016
Return Version
2015v2.1
Gross Receipts
$215,506
Mission and Program Overview

Mission

To service rural and small town citizens with ambulance service with an approximate population of 1200 individuals.

To service rural & small town citizens with ambulance service to about a population of 1200

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$248,290$320,628▲ $72,338
Savings and Temporary Cash Investments$60,000$140,000▲ $80,000
Cash and Non-Interest-Bearing Accounts$74,962$113,172▲ $38,210
Land, Buildings, and Equipment, Net$113,328$67,456▼ $45,872
Total Assets$248,290$320,628▲ $72,338
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$248,290$320,628▲ $72,338
Total Liabilities and Net Assets / Fund Balance$248,290$320,628▲ $72,338

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$67,456$115,004$182,460
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Carrie RothPresidentPT$3,000$3,000
Nyla TietzTreasurerPT$3,000$3,000

Board Members and Trustees

NameTitle
Brad SternDirector
Jeff WruckDirector
Theo StollerDirector
Tara GauglerSecretary
Kristin HeidVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$18,047
Program Service Revenue
$197,277
Investment Income
$182
Other Revenue
$0
Change in Net Assets
$70,408
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$81,980
Salaries, Compensation, and Employee Benefits$63,118
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$51,875--$51,875
Other Salaries and Wages$51,738--$51,738
Fees for Services Other$30,105--$30,105
Payroll Taxes$11,380--$11,380
Total Functional Expenses$145,098$0$0$145,098
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
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

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
New Leipzig Ambulanc
EIN
51-0179928
Address
PO BOX 91, NEW LEIPZIG, ND 58562

Signing Officer

Name
Carrie Roth
Title
President
Signed
2016-03-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carrie Roth
Legal Domicile
Nd
Voting Board Members
4
Independent Board Members
15
Employees
14

Preparer

Firm
Gail Petrick CPA
Address
6095 69TH AVE SW, ELGIN, ND 58533
Preparer
Gail Petrick
Phone
7015843640
Supplemental Narrative

Additional Explanations

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

To provide ambulance service to rural & small town area

Form 990, Part IX, Line 11G

Gas, oil 9,385 0 0 supplies 6,310 0 0 repairs 117 0 0 telephone 999 0 0 insurance 743 0 0 equipment 1,555 0 0 license 25 0 0 miscellaneous 6,341 0 0 training 1,110 0 0 billing fees 3,520 0 0

Form 990, Part XI, Line 9

Book / tax depreciation difference 1,930 total 1,930

Raw XML Appendix329 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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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GAS, OIL 9,385 0 0 SUPPLIES 6,310 0 0 REPAIRS 117 0 0 TELEPHONE 999 0 0 INSURANCE 743 0 0 EQUIPMENT 1,555 0 0 LICENSE 25 0 0 MISCELLANEOUS 6,341 0 0 TRAINING 1,110 0 0 BILLING FEES 3,520 0 0
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0197459
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0215506
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0248290
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0320628
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 127
IRS990/USAddress/CityNm0NEW LEIPZIG
IRS990/USAddress/StateAbbreviationCd0ND
IRS990/USAddress/ZIPCd058562
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt015
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0CARRIE ROTH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-03-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NEW LEIPZIG AMBULANC
ReturnHeader/Filer/BusinessNameControlTxt0NEWL
ReturnHeader/Filer/EIN0510179928
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 91
ReturnHeader/Filer/USAddress/CityNm0NEW LEIPZIG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ND
ReturnHeader/Filer/USAddress/ZIPCd058562
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450378408
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0GAIL PETRICK CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt06095 69TH AVE SW
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ELGIN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd058533
ReturnHeader/PreparerPersonGrp/PhoneNum07015843640
ReturnHeader/PreparerPersonGrp/PreparationDt02016-04-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GAIL PETRICK
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02016-04-07T09:21:11-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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