TY 2016 Form 990 Schedule O

efile Public Visual Render ObjectId: 201710389349300006 - Submission: 2017-02-07 TIN: 25-1588908

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 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2016

Open to Public
Inspection

Name of the organization

CRESSON AREA AMBULANCE SERVICE INC

Employer identification number

25-1588908

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD TREASURER WILL REVIEW THE FORM 990 IN DETAIL WITH THE BUDGET COMMITTEE OF THE BOARD DURING A COMMITTEE MEETING. THE BUDGET COMMITTEE SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION, AND THE FULL BOARD SHALL RECEIVE A COPY OF THE IRS FORM 990 WITHIN 30 DAYS OF ITS SUBMISSION. THE CHAIR OF THE BUDGET COMMITTEE SHALL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR. ANY POTENTIAL CONFLICTS NOTED ARE REVIEWED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS ANNUALLY AUTHORIZES ANY SALARY ADJUSTMENTS. THESE MAY BE PERCENTAGES OR DOLLAR AMOUNTS AND ARE TYPICALLY GRANTED FOLLOWING ACCEPTABLE PERFORMANCE EVALUATIONS .
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF THE ORGANIZATION'S FORM 990 SHALL BE MADE AVAILABLE, UPON REQUEST, IN A TIMELY MANNER, TO ANY INDIVIDUALS WHO REQUEST IT. ALSO, THE FORM 990 IS ELECTRONICALLY AVAILABLE THROUGH GUIDESTAR (WWW.GUIDESTAR.ORG). REQUESTS FOR THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY MUST BE REQUESTED BY SUBMITTING THE REQUEST IN WRITING TO THE ORGANIZATION. THE REQUEST MUST INDICATE THE REASON FOR THE REQUEST AND A WRITTEN STATEMENT INDICATING THE PERSONS THAT WILL BE PERMITTED TO EXAMINE THE FINANCIAL STATEMENTS. THE ORGANIZATION WILL MAKE THE FINAL DETERMINATION IF THE FINANCIAL STATEMENTS WILL BE PROVIDED TO THE REQUESTING POLICY. BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR. ALL POTENTIAL CONFLICTS ARE REVIEWED BY THE BOARD.
FORM 990, PART XI, LINE 9:	CHANGE IN UNRESTRICTED-DESIGNATED NET ASSETS -943.

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11B

THE BOARD TREASURER WILL REVIEW THE FORM 990 IN DETAIL WITH THE BUDGET COMMITTEE OF THE BOARD DURING A COMMITTEE MEETING. THE BUDGET COMMITTEE SHALL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION, AND THE FULL BOARD SHALL RECEIVE A COPY OF THE IRS FORM 990 WITHIN 30 DAYS OF ITS SUBMISSION. THE CHAIR OF THE BUDGET COMMITTEE SHALL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE.

FORM 990, PART VI, SECTION B, LINE 12C

THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR. ANY POTENTIAL CONFLICTS NOTED ARE REVIEWED BY THE BOARD OF DIRECTORS.

FORM 990, PART VI, SECTION B, LINE 15

THE BOARD OF DIRECTORS ANNUALLY AUTHORIZES ANY SALARY ADJUSTMENTS. THESE MAY BE PERCENTAGES OR DOLLAR AMOUNTS AND ARE TYPICALLY GRANTED FOLLOWING ACCEPTABLE PERFORMANCE EVALUATIONS .

FORM 990, PART VI, SECTION C, LINE 19

COPIES OF THE ORGANIZATION'S FORM 990 SHALL BE MADE AVAILABLE, UPON REQUEST, IN A TIMELY MANNER, TO ANY INDIVIDUALS WHO REQUEST IT. ALSO, THE FORM 990 IS ELECTRONICALLY AVAILABLE THROUGH GUIDESTAR (WWW.GUIDESTAR.ORG). REQUESTS FOR THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY MUST BE REQUESTED BY SUBMITTING THE REQUEST IN WRITING TO THE ORGANIZATION. THE REQUEST MUST INDICATE THE REASON FOR THE REQUEST AND A WRITTEN STATEMENT INDICATING THE PERSONS THAT WILL BE PERMITTED TO EXAMINE THE FINANCIAL STATEMENTS. THE ORGANIZATION WILL MAKE THE FINAL DETERMINATION IF THE FINANCIAL STATEMENTS WILL BE PROVIDED TO THE REQUESTING POLICY. BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY EACH YEAR. ALL POTENTIAL CONFLICTS ARE REVIEWED BY THE BOARD.

FORM 990, PART XI, LINE 9:

CHANGE IN UNRESTRICTED-DESIGNATED NET ASSETS -943.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2016

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