SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
MASTIC VOLUNTEER AMBULANCE COMPANY INC
 
Employer identification number

11-3474702
Return Reference Explanation
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et EUGENE OMMUNDSEN IS MARRIED TO TRACEY OMMUNDSEN. BOTH SERVE AS OFFICERS OF THE ORGANIZATION. NEITHER RECEIVE COMPENSATION FOR THEIR ROLES AS OFFICERS.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder ALL VOLUNTEERS IN GOOD STANDING ARE CONSIDERED MEMBERS OF THE AMBULANCE COMPANY. A MEMBER IN GOOD STANDING MUST HAVE THE APPROPRIATE TRAINING; RESPOND TO ANADEQUATE NUMBER OF CALLS AND TRAININGS; AND ADHERE TO COMPANY POLICIES AND PRACTICESIN ORDER TO MAINTAIN THEIR STANDING.
Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of Meetings NO COMMITTEE MEETING MINUTES ARE MAINTAINED SINCE THERE ARE NO COMMITTEES. ALL ACTIVITIES ARE GOVERNED BY THE BOARD OF DIRECTORS AND OFFICERS.HOWEVER,BOARD MEETING MINUTES ARE MAINTAINED.
Form 990, Part VI, Line 11b: Form 990 Review Process COPIES OF THE 990 WILL BE REVIEWED BY ALL OFFICERS AND DIRECTORS AT THE MONTHLY BOARD MEETING PRIOR TO FILING. TAX PREPARER WILL BE ASKED TO ATTEND THE MEETING IFTHE BOARD FEELS IT IS NECESSARY. THE BOARD WILL ACKNOWLEDGED THE REVIEW AND ACCEPTANCE OF THE 990 AS PRESENTED.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts POTENTIAL CONFLICTS ARE DISCUSSED AT BOARD MEETINGS. IF A POTENTAIL CONFLICT EXISTS, THE BOARD MEMBER OR OFFICER INVOLVED WILL ABSTAIN FROM THE VOTE RELATED TO THE ISSUE WHERE A CONFLICT MAY EXIST.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available ALL RELEVANT DOCUMENTS INCLUDING POLICIES, TAX RETURNS, 1023 APPLICATION AND FINANCIAL STATEMENTS ARE AVAILABLE AT HEADQUARTERS FOR INSPECTION DURING NORMAL BUSINESS HOURS.
Form 990, Part IX, Line 24e: Other Expenses ADMINISTRATIVE: Column (A) - Total = $27836; Column (B) - Program Services = $0; Column (C) - Management & General = $27836; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BUILDING IMPROVEMENTS: Column (A) - Total = $33495; Column (B) - Program Services = $33495; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses BUILDING REPAIRS: Column (A) - Total = $31823; Column (B) - Program Services = $31823; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses CLINICAL TRAINING & CERT.: Column (A) - Total = $725; Column (B) - Program Services = $725; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COMMUNICATION EQUIPMENT: Column (A) - Total = $26132; Column (B) - Program Services = $26132; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses COMMUNITY TRAINING & RELATIONS: Column (A) - Total = $4579; Column (B) - Program Services = $4579; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses CONFERENCES & SEMINARS: Column (A) - Total = $4804; Column (B) - Program Services = $4804; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses FURNITURE: Column (A) - Total = $5009; Column (B) - Program Services = $5009; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses INSTALLATION OF OFFICERS: Column (A) - Total = $30826; Column (B) - Program Services = $30826; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MEDICAL EQUIPMENT: Column (A) - Total = $16973; Column (B) - Program Services = $16973; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MEDICAL EXAMS: Column (A) - Total = $1171; Column (B) - Program Services = $1171; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses MISCELLANEOUS: Column (A) - Total = $1409; Column (B) - Program Services = $0; Column (C) - Management & General = $1409; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses Postage and Shipping: Column (A) - Total = $2970; Column (B) - Program Services = $0; Column (C) - Management & General = $2970; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses STAND-BY MEALS: Column (A) - Total = $8911; Column (B) - Program Services = $8911; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses UNIFORMS: Column (A) - Total = $16691; Column (B) - Program Services = $16691; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses UTILITIES & TELEPHONE: Column (A) - Total = $35023; Column (B) - Program Services = $35023; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses VEHICLE FUEL: Column (A) - Total = $29937; Column (B) - Program Services = $29937; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000170
Software Version: 2013v3.1